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The percutaneous columellar strut.

David C Bloom¹, Craig L Cupp

¹Department of Otolaryngology-Head and Neck Surgery, Naval Medical Center San Diego, 34520 Bob Wilson Drive, Suite 200, San Diego, CA 92134-2200, USA.

American Journal of Rhinology

|January 31, 2004

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The percutaneous columellar strut technique offers an easy way to improve nasal tip support, especially after trauma or surgery. While a small scar is possible, it effectively addresses tip ptosis and enhances nasal projection.

Area of Science:

Plastic Surgery
Otolaryngology
Rhinology

Background:

Nasal tip support mechanisms are critical for rhinoplasty outcomes.
Preserving or augmenting tip projection is a key surgical goal.

Purpose of the Study:

To describe the percutaneous columellar strut technique.
To present the results of its application in nasal surgery.

Main Methods:

A columellar strut is placed between the medial crura via a small incision.
This technique is utilized during septoplasty and closed rhinoplasty.

Main Results:

The percutaneous columellar strut provides effective additional tip support.
It is beneficial for correcting tip ptosis caused by trauma, surgery, or aging.

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The ease of insertion is a significant advantage, outweighing the minor risk of a visible scar.

Conclusions:

The percutaneous columellar strut is a valuable technique for enhancing nasal tip support.
It offers a simple and effective solution for specific cases of tip ptosis.