title: Nasal septum to columella attachment: a major tip support?
abstract: OBJECTIVE
  To determine whether surgical section of attachment of the medial crural footplates to the quadrangular cartilage produces loosening of the nasal tip.
  
  
  METHODS
  Prospective, observational, before-and-after study.
  
  
  METHODS
  Tertiary care center.
  
  
  METHODS
  Hispanic patients undergoing septoplasty who required a transfixion incision were included. A six-month postoperative assessment of the nasal tip support was compared with preoperative values. As measures of the nasal tip support, we included tip recoil test, nasolabial angle, tip rotation angle, nasofacial angle, and the Goode method for determining tip projection.
  
  
  RESULTS
  Twenty-seven patients completed the follow-up, and their results are reported. There were no statistically significant differences after septoplasty in any of the five measurements used to assess the nasal tip support (P > 0.05).
  
  
  CONCLUSIONS
  In this preliminary cohort of Hispanic patients, surgical section of the attachment of the medial crural footplates to the quadrangular cartilage does not produce significant changes in nasal tip support.
authors.affiliation: Department of Otolaryngology, Hospital Universitario Clínica San Rafael, Bogotá, Colombia. otoleor@gmail.com
authors.forename: Leonardo Elías
authors.initials: LE
authors.lastname: Ordóñez-Ordóñez
authors.forename: Usmaila S
authors.initials: US
authors.lastname: Navarro-García
authors.forename: Esther Sofía
authors.initials: ES
authors.lastname: Angulo-Martínez
mesh_terms: D000293:Adolescent; D000328:Adult; D003105:Colombia; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D055171:Nasal Cartilages / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D011446:Prospective Studies; D012225:Rhinoplasty / Q000379:methods*; D013536:Suture Techniques; D016896:Treatment Outcome; D055815:Young Adult