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Transcutaneous Suture Tip Plasty: The Technique and Outcomes
Goksel Turhal1, Murat Benzer1, Fetih Furkan Sahin1
11 Otolaryngology Department, Ege University School of Medicine, Izmir, Turkey.
The Annals of Otology, Rhinology, and Laryngology
|April 23, 2019
Summary
Transcutaneous suture tip plasty shows promise for improving nasal function and aesthetics with minimal invasiveness. This technique offers rapid, reliable results, though longer-term studies are needed.
Area of Science:
- Rhinoplasty and facial plastic surgery
- Minimally invasive surgical techniques
- Nasal function and aesthetics assessment
Background:
- Traditional radical resections in rhinoplasty are increasingly replaced by conservative approaches.
- Minimally invasive techniques aim to reduce patient morbidity and recovery time.
- Assessing functional and aesthetic outcomes is crucial for evaluating surgical procedures.
Purpose of the Study:
- To evaluate the functional and aesthetic outcomes of transcutaneous suture tip plasty.
- To compare pre- and postoperative results using objective and subjective measures.
- To determine the efficacy of this minimally invasive rhinoplasty technique.
Main Methods:
- A cohort of 20 patients underwent transcutaneous suture tip plasty.
- Functional outcomes were assessed using Sino-Nasal Outcome Test (SNOT-22) and acoustic rhinometry.
- Facial analysis software (Rhinobase) was employed for objective aesthetic measurements.
Main Results:
- Significant improvements were observed in SNOT-22 scores and nasolabial angles post-surgery.
- Nasal length decreased, while tip projection increased significantly.
- Acoustic rhinometry showed significant changes only in the second minimal cross-sectional area (MCA2); other parameters did not differ significantly.
- A 10% revision rate was noted due to suture issues.
Conclusions:
- Transcutaneous suture tip plasty is a promising minimally invasive technique for achieving rapid functional and cosmetic improvements.
- The procedure demonstrates potential for reliable outcomes in rhinoplasty.
- Further research with extended follow-up is recommended to ascertain long-term efficacy and safety.
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