A comparison of the tongue-in-groove and columellar strut in creating and maintaining tip projection and rotation: a randomized single blind trial

Yaberi, Razie; Amali, Amin; Emami, Hamed; Saedi, Babak

doi:10.1007/s00238-017-1346-3

Cited by 10 publications

(5 citation statements)

References 15 publications

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“…7 Yaberi et al found that the nasolabial angle was significantly higher in the tongue-in-groove group (89.0 ± 4.3 degrees) than in the columellar strut group (84.6 ± 6.0 degrees). 8 However, as the photography times in these studies are different from our study, we cannot compare the changes in nasolabial angle.…”

Section: Discussioncontrasting

confidence: 59%

“…9 According to Yaberi et al, both tongue-in-groove and columellar strut techniques were effective in maintaining tip projection. 8 Kadakia and Ovchinsky stated that there was a statistically significant difference between preoperative (0.64) and postoperative (0.68) Goode ratio in the tongue-in-groove technique. 10 There are defined optimal values for the nasolabial angle and Goode ratio in the literature.…”

Section: Plastic and Reconstructive Surgery • December 2021mentioning

confidence: 97%

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Flexible Tongue-in-Groove Technique and Its Effectiveness Compared to Classic Tongue-in-Groove and Columellar Strut Graft Techniques: A Retrospective Analysis of 237 Open Rhinoplasty Cases

Erdal

Genç

Pasinlioğlu

et al. 2021

Plastic &Amp; Reconstructive Surgery

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lthough every anatomical subunit is important in rhinoplasty, the nasal tip is crucial for successful results. The tip is the area that changes most in the postoperative period compared to other parts of the nose, such as the radix or dorsum. Decrease in tip projection, tip dropping, and hanging columella are the most common undesirable changes in the postoperative period. Various tip and medial crura stabilization and strengthening techniques are used to deal with these changes. Columellar strut graft placement and tongue-in-groove suturing are the most commonly used techniques. The columellar strut technique was described much earlier than

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Section: Discussioncontrasting

confidence: 59%

Section: Plastic and Reconstructive Surgery • December 2021mentioning

confidence: 97%

Flexible Tongue-in-Groove Technique and Its Effectiveness Compared to Classic Tongue-in-Groove and Columellar Strut Graft Techniques: A Retrospective Analysis of 237 Open Rhinoplasty Cases

Erdal

Genç

Pasinlioğlu

et al. 2021

Plastic &Amp; Reconstructive Surgery

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“…They followed up their patients for 14 months and concluded that columellar strut may enhance tip stability and prevent tip drop in combination with muscle release [2]. Tip stability, particularly in terms of tip rotation and projection, can be achieved using TIG with or without SEG, as demonstrated in this series, particularly during smiling [11,12]. The addition of SEG may further enhance this stability during smiling, with no reported complications in previous studies [13].…”

Section: Accepted Manuscriptmentioning

confidence: 59%

“…2 Tip stability, particularly in terms of tip rotation and projection, can be achieved using TIG with or without SEG, as demonstrated in this series, particularly during smiling. 11,12 The addition of SEG may further enhance this stability during smiling, with no reported complications in previous studies. 13 In a retrospective study, the authors demonstrated that TIG with or without SEG could alter the upper lip angle.…”

Section: Discussionmentioning

confidence: 87%

Impact of Tongue-in-Groove Technique on Smile and Lip Position: A Comparative Analysis with and without Septal Extension Graft

Farhbaksh,

Sazgar,

Saedi

2024

Facial Plast Surg

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Objective: This study was conducted to compare the outcomes of the Tongue-in-Groove (TIG) technique with and without Septal Extension Graft (SEG) on smile and lip position in rhinoplasty. Methods: Fifty-eight rhinoplasty patients, treated at a tertiary referral center between 2020 and 2022, underwent pre- and twelve-month post-operative evaluations, using the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) and the Visual Analogue Scale (VAS). Preoperative and twelve-month postoperative photographs were analyzed using Adobe Photoshop to assess changes in lip and smile positions. Results: The study included 38 patients in the TIG with SEG group and 20 patients in the TIG without SEG group. The participants, with an average age of 32.12 ± 7.97 years, comprised 81% females. In terms of surgical outcomes, postoperative evaluations revealed significant improvements in the VAS aesthetic score, SCHNOS-O score, and SCHNOS-C score compared to preoperative scores (p < 0.001) for both groups. Notably, both groups demonstrated significant improvements in the upper lip length, nasolabial angle (NLA), columellar inclination angle (CI), and smile nasolabial angle. Patients in the SEG group exhibited markedly superior SCHNOS-O results, as well as distinctions in smile NLA and smile CI, compared to the group without SEG. Conclusion: The impact of rhinoplasty techniques on lip and smile remains complex requiring further evaluation. Both of the TIG techniques, with and without SEG, resulted in positive outcomes in terms of improving lip and smile positions, with the use of SEG demonstrating greater stability during a smile.

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“…One of the most challenging procedures in facial plastic surgery is rhinoplasty, 1 , 2 and a regular prevalence of frustration is met when trying to control the projection, shape, and rotation of the nasal tip—specifically amid patients with weak lower lateral cartilage. 3 It is widely accepted that the tip of the nose is the most arduous part of the operation, and has been described as the greatest challenge in rhinoplasty; therefore, the surgeon’s ability to maintain the nasal tip is interconnected with the success of the surgery.…”

Section: Introductionmentioning

confidence: 99%

Effect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty

Badawy¹,

Saloussy

2021

Plastic and Reconstructive Surgery - Global Open

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Background: One of the faced difficulties of nasal tip surgery is progressive loss of nasal tip projection and rotation postoperatively. Nasal base stabilization by septal extension grafts has shown to improve this loss over time. The aim of this study was to demonstrate that a modified septal extension graft can provide the required tip rotation/derotation by changing the angle of the graft’s insertion. In addition, it maintains nasal tip projection without creating a rigid tip. Other than that it avoids the requirement of a large amount of cartilage. Materials/Methods: This study involves a retrospective review of 37 patients who underwent open rhinoplasty for primary or secondary cases over a period of 12 months. The average age of the patients was 28 years (range = 20–43 years), and all patients were of Middle Eastern origin. Subjective evaluation based on photographic analysis was used pre and postoperatively. Results: All cases included in this study maintained their operative results of tip rotation. Two cases showed a minimal decrease in tip projection documented upon review 6–12 months postoperatively. No patient needed secondary revision surgery due to changes in tip projection or rotation. The objective pre and postoperative findings were satisfying for the patients and surgeons. Conclusions: The modified septal extension graft is an effective tool for rotation of the nasal tip as well as derotation of an over rotated tip. It is also capable of maintaining nasal tip projection.

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A comparison of the tongue-in-groove and columellar strut in creating and maintaining tip projection and rotation: a randomized single blind trial

Cited by 10 publications

References 15 publications

Flexible Tongue-in-Groove Technique and Its Effectiveness Compared to Classic Tongue-in-Groove and Columellar Strut Graft Techniques: A Retrospective Analysis of 237 Open Rhinoplasty Cases

Flexible Tongue-in-Groove Technique and Its Effectiveness Compared to Classic Tongue-in-Groove and Columellar Strut Graft Techniques: A Retrospective Analysis of 237 Open Rhinoplasty Cases

Impact of Tongue-in-Groove Technique on Smile and Lip Position: A Comparative Analysis with and without Septal Extension Graft

Effect of Modified Septal Extension Grafts on the Nasal Tip in Rhinoplasty

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