The Joint Tip Graft: A Joint Support for Rim, Facet and Infratip Lobule in Rhinoplasty
- 220 Downloads
The authors of this study have developed a novel graft called the ‘The Joint Tip Graft’ which adds support to the lateral crus, camouflages the tip grafts, supports the facet and adds volume to the nasal tip as a single graft. The aim of this study was to define and introduce the tripod graft.
Thirty patients who underwent primary rhinoplasty at a tertiary academic center were included. Patients were randomly assigned into two groups according to the grafts used: group 1: Joint tip graft was additionally used, and group 2: Joint tip graft was not used. All patients were photographed by a photographer who is familiar with medical photography. Preoperative and postoperative sixth month photographs were taken for analysis. The brightest point of the infratip lobule and the darkest point of the facets were selected and analyzed with computer software. The luminance ratio of facet to infratip lobule was calculated to overcome light and head position differences.
Mean infratip luminance scores were 112.20 ± 5.72 and 109.73 ± 7.13 in groups 1 and 2, respectively (p > 0.05). Mean facet luminance scores were 101.33 ± 4.91 and 89.27 ± 5.11 in groups 1 and 2, respectively (p < 0.05). Facet/infratip luminance ratios were calculated for each group. Mean facet/infratip luminance ratios were 0.90 ± 0.01 and 0.82 ± 0.16 for groups 1 and 2, respectively (p < 0.05).
The joint tip graft is a novel graft that is easy to harvest and apply. It spans both of the alar cartilages, supports the facet area and creates a smooth gradual light shadow transition. Additionally, it acts as a camouflage over the tip grafts.
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.
KeywordsSeptorhinoplasty Rhinoplasty Joint tip graft Tip plasty Camouflage graft
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
Human and Animal Rights
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. It was approved by the institutional review board (approval no: 17-1.11/11).
Written informed consent was obtained from the patients who participated in this study.
Supplementary material 1 (WMV 29679 kb)
Supplementary material 2 (MOV 85894 kb)
- 4.Gunter JP, Hackney FL (2007) Adjusting rotation of the nasal tip. In: Gunter JP, Rohrich RJ, Adams WP (eds) Dallas rhinoplasty, 2nd edn. MO: Quality Medical Publishing, St. Louis, pp 375–400Google Scholar
- 5.Kridel RW (1995) Grafts and implants in revision rhinoplasty. Facial Plast Surg Clin North Am 3:473–486Google Scholar
- 6.Cingi C, Bayar Muluk N, Winkler A, Thomas JR (2018) Nasal Tip Grafts. Craniofac Surg 29:1914–1921Google Scholar