Comparison of techniques used to support the nasal tip and their long-term effects on tip position

Eric J. Dobratz, Vivian Tran, Peter A. Hilger

Research output: Contribution to journalArticlepeer-review

35 Scopus citations

Abstract

Objectives: To examine the indications for the use of septal extension grafts, columellar struts, and tongueand-groove techniques to provide support and set the tip position during rhinoplasty, and to compare the strength of their support and analyze their long-term effects on tip position. Methods: The medical records and photographs of patients who underwent external septorhinoplasty during a 2-year period were analyzed. Forty patients had photographs from short-term follow-up (<12 weeks) and were included in the study. The short-term and longterm (>l52 weeks) tip positions were compared to determine the maintenance of tip position with each technique. Each stabilization technique was performed on 5 fresh cadavers, and the resistance to displacement of the tip was measured and compared. Results: Objective measurements in the cadaver analysis show increased resistance to tip displacement with the use of caudal septal extension grafts and tongue-andgroove techniques. There was no difference in the maintenance of tip position between the techniques in analysis of the patients who have undergone rhinoplasty. Conclusions: Many factors influence the maintenance of tip position in patients who have undergone rhinoplasty. One should consider using a stabilization technique to help resist displacement of the nasal tip. Clinical and operative findings, as well as secondary effects, are used to help determine which technique should be used.

Original languageEnglish (US)
Pages (from-to)172-179
Number of pages8
JournalArchives of Facial Plastic Surgery
Volume12
Issue number3
DOIs
StatePublished - May 1 2010

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