Comparative clinical study with a novel technique for stabilization of the nasal tip projection and rotation: fixation o
- PDF / 1,057,009 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 49 Downloads / 176 Views
RHINOLOGY
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 Ahmet Mert Bilgili1 · Aret Çerçi Özkan2,3 Received: 27 June 2020 / Accepted: 16 July 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
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. Keywords Autoextension · Tip · Rhinoplasty · Projection · Rotation · Septum
Introduction
* Aret Çerçi Özkan [email protected] Ahmet Mert Bilgili [email protected] 1
ENT Department, Cyprus International University Medical Faculty, Lefkoşe, Cyprus
2
Health Sciences Department, Kocaeli Health and Technologies University, European Vocational High School, Kazlıçeşme, Ahmet Haşim Sk. 8/1, 34010 Zeytinburnu, İstanbul, Turkey
3
İstanbul, Turkey
All rhinoplasty procedures, especially the open approach, cause detachment of several tip supporting ligaments, namely, interdomal, intercrural, Pitanguy’s, pyriform, and scroll ligaments. That is why it is important to reinforce the nasal tip support in several ways to take over the lost functions of these ligaments. Appropriate restor
Data Loading...
