Reconstruction of nasal tip support in primary, open approach septorhinoplasty : A retrospective analysis between the tongue-in-groove technique and the columellar strut.
The reconstruction of the nasal tip support is one of the most essential issues in septorhinoplasty. A comparison of the results after using the tongue-in-groove technique and the columellar strut technique was the target of this study. Thirty-three patients who underwent a primary, open approach septorhinoplasty using the above-mentioned techniques were retrospectively analyzed. The gain in tip rotation postoperatively, the sensitivity and the rigidity of the nasal tip and the aesthetic outcome after surgery were examined and evaluated. Both techniques led to an increase in nasal tip rotation postoperatively. The gain in rotation was higher in patients, treated with the tongue-in-groove technique (p = 0.0052). The sensitivity of the tip region in the tongue-in-groove group of patients was significantly lower than that in the columellar strut group of patients (p = 0.0424). Both techniques led to high percentages of tip rigidity after surgery with satisfactory aesthetic results though. The tongue-in-groove technique and the columellar strut technique are both reliable techniques for reconstructing the nasal tip support and correcting a droopy tip. Although the tongue-in-groove technique might result in a more significant increase in tip rotation, it leads to less sensitivity in the tip region.
['Karaiskakis|Periklis|P|', 'Bromba|Michael|M|', 'Dietz|Andreas|A|', 'Sand|Michael|M|', 'Dacho|Andreas|A|']
D000328:Adult D057186:Comparative Effectiveness Research D005260:Female D005858:Germany D006801:Humans D006987:Hypesthesia D008297:Male D009300:Nasal Septum D009666:Nose D009667:Nose Deformities, Acquired D010043:Outcome and Process Assessment, Health Care D011183:Postoperative Complications D019651:Reconstructive Surgical Procedures D012189:Retrospective Studies D012225:Rhinoplasty D013518:Surgery, Plastic D014102:Torsion Abnormality
Nasal tip support Tongue-in-groove Columellar strut Tip rotation Tip sensitivity