Control of Nasal Tip Position: Quantitative Assessment of Columellar Strut versus Caudal Septal Extension Graft

Plastic and Reconstructive Surgery
Rajendra Sawh-MartinezDerek M Steinbacher

Abstract

Control and maintenance of nasal tip position are critical in rhinoplasty. Two frequent methods of exerting tip control are columellar strut and caudal septal extension graft. However, no quantitative data exist comparing the two methods over time. The purpose of this study was to analyze maintenance of tip projection and rotation following either columellar strut or septal extension graft. A retrospective cohort study of patients undergoing rhinoplasty was reviewed. Three-dimensional photogrammetric evaluation of patients with either columellar strut or septal extension graft to increase tip projection was performed. Anthropometric points were analyzed in a blinded fashion. Outcome variables were tip projection, nasal length, the Goode ratio, and tip rotation. Results were stratified based on technique and compared statistically. One hundred six patients were included. Overall, 66 percent were female, with an average age of 34.5 years. A columellar strut was used in 42 percent of cases (n = 45), and a septal extension graft was used in 57 percent (n = 61). Analysis showed greater maintenance of tip rotation over time with the septal extension graft compared with the columellar strut [-1.01 percent change (p = not significant v...Continue Reading

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Citations

Mar 14, 2020·Aesthetic Surgery Journal·Lehao WuJianjun You
May 20, 2020·Ear, Nose, & Throat Journal·Rakan Saadoun, Johannes Adrian Veit
May 24, 2020·Aesthetic Surgery Journal·Süleyman Taş
Jul 28, 2020·Facial Plastic Surgery & Aesthetic Medicine·Priyesh N PatelSam P Most
Feb 11, 2021·Plastic and Reconstructive Surgery. Global Open·Fernando NakamuraJosé C Ronche Ferreira
Dec 1, 2020·Annals of Plastic Surgery·William Wei-Kai LaoAlejandro E Ramirez
Apr 2, 2021·Aesthetic Surgery Journal. Open Forum·Kitae E ParkDerek M Steinbacher
Apr 14, 2021·Facial Plastic Surgery & Aesthetic Medicine·Miguel Gonçalves FerreiraMariline Santos
Mar 20, 2021·Aesthetic Surgery Journal·Sumun KhetpalDerek Steinbacher
Jun 1, 2021·Facial Plastic Surgery : FPS·Tito M MarianettiValerio Ramieri
Jul 9, 2021·Plastic and Reconstructive Surgery. Global Open·Rasha AbdelkaderKyrillos Makarem
Jul 24, 2021·Facial Plastic Surgery & Aesthetic Medicine·David W ChouMatthew Tamplen

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