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Open rhinoplasty: effectiveness of different tripplasty techniques to increase nasal tip projection
1Department of Otorhinolaryngology, King Abdul Aziz University Hospital, Riyadh, Saudi Arabia.
Purpose:
To study the effectiveness of 3 different tipplasty techniques to increase nasal tip projection (NTP).
Materials And 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.
Results And Conclusion:
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.