Open rhinoplasty: effectiveness of different tripplasty techniques to increase nasal tip projection.
OBJECTIVE
To study the effectiveness of 3 different tipplasty techniques to increase nasal tip projection (NTP).


METHODS
NTP of 61 patients who underwent open rhinoplasty were retrospectively studied in 3 different tipplasty techniques used to increase NTP. Using a standard measurement technique, the preoperative and postoperative NTP ratio was measured for every patient preoperatively and at least 1 year after surgery. The study population of 61 patients was divided into 3 groups. Group 1 (n-32) underwent the author's routine nasal tip procedure (columellar strut, conservative cephalic trim of the lateral crura, and transdomal mattress sutures). Group 2 (n = 10) underwent the routine procedure and, in addition, has further medical recruitment of the lateral crura. Group 3 (n = 19) underwent the routine procedure and, in addition, has a tip cartilage graft.


CONCLUSIONS
The mean gain NTP postoperatively was highest in group 3 and lowest in group 1, and this was statistically significant. Causes of these differences in the NTP gain are discussed.
Department of Otorhinolaryngology, King Abdul Aziz University Hospital, Riyadh, Saudi Arabia.
S A
SA
Bafaqeeh
D000293:Adolescent; D000328:Adult; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009666:Nose / Q000601:surgery*; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D016896:Treatment Outcome