Columellar graft versus Septal Extension Grafts in Open Rhinoplasty (Control of Nasal Tip Position in thick skin population) | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 27 September 2023 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2023.236687.1303 | ||
| Authors | ||
| khaled mohammad Abdel Azeem* 1; mostafa fathy ibrahim2; Mohamed Atef3; Wael ElShaer4; emad mohamed sayed5 | ||
| 1Plastic Surgery Department – Faculty of Medicine, Beni-Suef University- Beni-Suef, Egypt. | ||
| 2plastic surgery beni suef university | ||
| 3plastic surgery department, Beni-Suef university | ||
| 4Beni Sweif Faculty of Medicine | ||
| 5Plastic and Reconstructive Surgery, Beni Suef University | ||
| Abstract | ||
| Background: Maintaining the position of the nasal tip is a crucial aspect of rhinoplasty. Objectives: to analyze the preservation of tip projection and rotation resulting from the utilization of either a columellar strut or a septal extension graft, which are two commonly employed techniques for achieving tip control aiming to reach a more predictable pre-operative planning. Patients and Methods: In this comparative clinical study, 40 candidates divided equally in two groups A for Columellar strut and Group B for Septal extension graft (16 women; 24 men; average age, 27 years) for primary rhinoplasty between October 2020 to October 2022 were included. Undergoing rhinoplasty computer software was used to analyze the effect columellar strut or septal extension graft on tip projection and rotation. Patients that needs revision rhinoplasty or patients with congenital nasal problems were excluded. Results: Most cases 21 (52.5%) were presented with deviated dorsum septum. costal cartilage was used in only one case to augment the dorsum in a case of saddle nose and also as a CS graft and nasal septum was the source for the others. CS and SEG group, comparison between T1 (immediate post-operative) and T3 (6-month post-operative) revealed significant P-value regarding tip projection and tip rotation. Conclusions: From the immediate postoperative position, nasal tip projection and rotation seem to have decreased. The tip projection and rotation of patients with columellar strut and those with septal extension graft both exhibit the same changes with no significant differences between both groups when followed up for 6 months postoperative. | ||
| Keywords | ||
| rhinoplasty; nasal tip; position | ||
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