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A Comparative Study of Columellar Strut and Septal Extension Grafts for Tip Support in Rhinoplasty
Badi Aldosari1, Lulu Aldhwaihy2, Ahmad Bogari1
1Otolaryngology and Head & Neck-Facial Plastic, College of Medicine. King Saud University, Riyadh, Saudi Arabia.
Ear, Nose, & Throat Journal
|October 31, 2024
Summary
Septal extension grafts offer superior long-term nasal tip rotation stability in rhinoplasty compared to columellar strut grafts. This finding aids surgeons in selecting optimal techniques for stable aesthetic outcomes.
Area of Science:
- Plastic Surgery
- Facial Plastic Surgery
- Rhinoplasty Techniques
Background:
- Rhinoplasty is a frequent aesthetic surgery.
- Long-term stability of columellar strut and septal extension grafts for nasal tip support is debated.
Purpose of the Study:
- To compare the long-term postoperative stability of columellar strut grafts versus septal extension grafts in rhinoplasty.
Main Methods:
- Retrospective cohort study of primary rhinoplasty patients (March 2021-March 2022).
- Analysis of nasal tip projection and rotation stability via photographic evaluation at pre-op, 6 months, and 18 months.
- Assessment of patient satisfaction and postoperative complications.
Main Results:
- Both techniques showed initial tip projection increase with slight, non-significant regression.
- Columellar strut grafts demonstrated significant decrease in tip rotation (nasolabial angle) over time.
- Septal extension grafts showed minimal, statistically insignificant changes in tip rotation.
Conclusions:
- Septal extension grafts provide more stable nasal tip rotation compared to columellar strut grafts in the long term.
