Reconstruction of nasal tip support in primary, open approach septorhinoplasty

Abstract

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.

Correcting Different Degrees of Droopy Nose, an Overview of Techniques and Strategies at Tertiary Facial Plastic Center. A Retrospective Analysis

“…29 Because drooping noses are frequent in parts of Europe, such as France, the causes of this may range from environmental variables to the physical appearance of Asians, as shown in the literature. 30 The surgeon on duty's choice of implementation and how the drooping nose presents itself will determine which of the many procedures is used. They need to be experts since the issue might develop with the implants falling out of position.…”

“…It demonstrates that drooping noses are less common among residents of Asian-populated regions 29 . Because drooping noses are frequent in parts of Europe, such as France, the causes of this may range from environmental variables to the physical appearance of Asians, as shown in the literature 30 . The surgeon on duty’s choice of implementation and how the drooping nose presents itself will determine which of the many procedures is used.…”

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

“…Karaiskakis et al reported that both tongue-in-groove and columellar strut techniques led to high percentages of tip rigidity, which was based on a questionnaire. 12 Atighechi et al expressed that both tongue-in-groove and columellar strut techniques showed similar tip elasticity measured by an instrument. 13 In the flexible Plastic and Reconstructive Surgery • December 2021 tongue-in-groove technique, we think the zone where the medial crura end and the vestibular skin begins functions as a joint that allows movement of the medial crura, especially in the coronal plane.…”