title: Reconstruction of nasal tip support in primary, open approach septorhinoplasty : A retrospective analysis between the tongue-in-groove technique and the columellar strut.
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.
authors: Clinic for Plastic Surgery, Katholische Kliniken Ruhrhalbinsel, Heidbergweg 22-24, 45257, Essen, Germany. periskar84@gmail.com.
authors: Periklis
authors: P
authors: Karaiskakis
authors: Clinic for Plastic Surgery, Katholische Kliniken Ruhrhalbinsel, Heidbergweg 22-24, 45257, Essen, Germany.
authors: Michael
authors: M
authors: Bromba
authors: Clinic of Otolaryngology, Head and Neck Surgery, University of Leipzig, Liebigstraße 10-14, 04103, Leipzig, Germany.
authors: Andreas
authors: A
authors: Dietz
authors: Clinic for Plastic Surgery, Katholische Kliniken Ruhrhalbinsel, Heidbergweg 22-24, 45257, Essen, Germany.
authors: Michael
authors: M
authors: Sand
authors: Plastic and Aesthetic Surgery, ATOS Clinic Heidelberg, Bismarckstraße 9, 69115, Heidelberg, Germany.
authors: Andreas
authors: A
authors: Dacho
mesh_terms: D000328:Adult; D057186:Comparative Effectiveness Research; D005260:Female; D005858:Germany; D006801:Humans; D006987:Hypesthesia / Q000209:etiology / Q000517:prevention & control; D008297:Male; D009300:Nasal Septum / Q000601:surgery*; D009666:Nose / Q000473:pathology / Q000601:surgery; D009667:Nose Deformities, Acquired / Q000209:etiology / Q000473:pathology / Q000503:physiopathology / Q000517:prevention & control; D010043:Outcome and Process Assessment, Health Care; D011183:Postoperative Complications / Q000473:pathology / Q000503:physiopathology / Q000517:prevention & control; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000009:adverse effects / Q000379:methods; D013518:Surgery, Plastic / Q000009:adverse effects / Q000379:methods; D014102:Torsion Abnormality / Q000209:etiology / Q000517:prevention & control
keywords: Columellar strut; Nasal tip support; Tip rotation; Tip sensitivity; Tongue-in-groove