Rhinoplasty with Mortise–Tenon Cartilaginous Framework for Caudal Septal Cartilage Defects

Introduction Rhinoplasty for caudal septal cartilage defects is a challenge due to the difficulty of fixation of the grafts. Objectives This study presents an approach for correcting defects in caudal septal cartilage with the costal cartilaginous framework using a mortise–tenon technique. Methods From May 2019 through May 2022, a retrospective analysis of patients with caudal septal cartilage defects underwent rhinoplasty using a mortise–tenon cartilaginous framework by a senior surgeon was performed. The surgical outcomes were evaluated both preoperatively and postoperatively. Results This study involved 17 patients, ranging in age from 27 to 58 years. There were 22.4 months of follow-up on average. There was no long-term or short-term complication observed. The aesthetic outcome of all cases was satisfactory. The mean score for the patients of the perceptions of improvement in their noses was 8.11. Conclusion Correction of caudal septal cartilage defects with this costal cartilaginous framework using the mortise–tenon technique is feasible and effective. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .