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Modified Endonasal Tongue-in-Groove Technique
Sameep Kadakia1, Alexander Ovchinsky1
1Department of Otolaryngology - Head and Neck Surgery, New York Eye and Ear Infirmary of Mount Sinai, New York, New York.
Facial Plastic Surgery : FPS
|September 30, 2016
Summary
This study presents a modified endonasal tongue-in-groove technique for rhinoplasty, offering stable improvements in tip rotation and projection. The technique is safe and effective, with statistically significant and lasting results in 12 patients.
Area of Science:
- Plastic Surgery
- Otolaryngology
Background:
- Achieving stable tip rotation (TR) and tip projection (TP) is crucial in rhinoplasty.
- The traditional endonasal tongue-in-groove (TIG) technique can be cumbersome due to suture placement.
Purpose of the Study:
- To describe and evaluate a modified endonasal TIG technique using a permanent suture through small columellar incisions.
- To analyze the degree and longevity of changes in TR and TP achieved with this modified technique.
Main Methods:
- Retrospective review of 12 patients undergoing endonasal TIG rhinoplasty.
- Preoperative and postoperative photographs were analyzed for changes in TR and TP using nasolabial angle and Goode ratio measurements.
- Statistical analysis (t-test) was performed to assess significance (p < 0.05).
Main Results:
- Statistically significant improvements in both TR (p=0.0069) and TP (p=0.026) were observed.
- Follow-up ranged from 6 to 53 months (mean 12.1 months), indicating lasting results.
- No complications related to the permanent suture material were reported.
Conclusions:
- The modified endonasal TIG technique is a safe, reliable, and effective method for achieving desired TR and TP changes in rhinoplasty.
- This technique offers a practical alternative for surgeons seeking stable aesthetic outcomes.
