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Comparative clinical study with a novel technique for stabilization of the nasal tip projection and rotation: fixation of the septum and the strut graft through the septal cartilage autoextension

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

It is important to reinforce nasal tip support for long-term satisfactory results. Two workhorses of tip support are strut grafting and the tongue-in-groove technique. Tongue-in-groove causes retraction and stiffness; the strut causes loss of rotation and projection of tip. We introduced a novel technique that avoids these consequences.

Methods

Between February 2018–February 2019, 40 female underwent primary rhinoplasty. Mean age: 27 years (18–41 years). Follow-up:1–2 years. In first group (20 patients), caudal septum was resected and strut was not fixated to caudal septum. In second group (20 patients), tongue-like extension (septal autoextension) was preserved at caudal septum and sutured to strut. Preoperative, peroperative, and postoperative images were compared.

Results

Tip projection ratio calculations, nasolabial angle measurements were evaluated by statistical analyses. The change in projection ratios between peroperative period and 1-year postoperative period of strut-only group was higher than septal autoextension group (p = 0.001). This result indicates that nasal tip projection loss in strut-only group was higher compared to septal autoextension group. The change in nasolabial angle measurements from peroperative period to 1-year postoperative period differed significantly between two groups (p = 0.001). Significant difference was observed between 1-year postoperative nasolabial angle measurements of two groups (p = 0.006); septal autoextension group measurements were higher than strut-only group. These results showed that fixation of strut graft to the septal autoextension provides better preservation of the nasolabial angle and stabilization of nasal tip projection.

Conclusıon

Fixation of septum and strut graft through septal autoextension provides satisfactory stabilization of tip projection and rotation without stiffness or rigidity.

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Funding

All authors declare that they have no financial disclosures.

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Authors and Affiliations

  1. ENT Department, Cyprus International University Medical Faculty, Lefkoşe, Cyprus

    Ahmet Mert Bilgili

  2. Health Sciences Department, Kocaeli Health and Technologies University, European Vocational High School, Kazlıçeşme, Ahmet Haşim Sk. 8/1, 34010, Zeytinburnu, İstanbul, Turkey

    Aret Çerçi Özkan

  3. İstanbul, Turkey

    Aret Çerçi Özkan

Authors
  1. Ahmet Mert Bilgili
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  2. Aret Çerçi Özkan
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Contributions

AMB and AÇÖ have actively contributed to all surgical and paper preparing and editing steps of the study.

Corresponding author

Correspondence to Aret Çerçi Özkan.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Every participant patient was informed comprehensively about the study and informed consent was obtained from each of them.

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Bilgili, A.M., Çerçi Özkan, A. Comparative clinical study with a novel technique for stabilization of the nasal tip projection and rotation: fixation of the septum and the strut graft through the septal cartilage autoextension. Eur Arch Otorhinolaryngol 277, 3349–3356 (2020). https://doi.org/10.1007/s00405-020-06225-y

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  • DOI: https://doi.org/10.1007/s00405-020-06225-y

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