The Long-Term Effect Investigation of Different Types of Suture and Graft Techniques on Nasal tip Projection and...

This study aimed to investigate the long-term effects of different suture and graft techniques on postoperative projection and rotation.

A total of 392 patients who met the inclusion criteria were screened and divided into 9 groups based on the technique performed. Outcome scores, tip projection ratios, and tip rotation angles were measured for the preoperative, early postoperative, and late postoperative periods. The measurements were first compared without differentiating the groups.

Compared with the preoperative period, the tip projection ratio increased significantly from 0.63 to 0.65, and the tip rotation increased from 94 to 101 degrees in the early postoperative period. In the late postoperative period, the tip projection ratio of 0.65 was maintained, while the tip rotation angle decreased by 2 to 99 degrees. There was no significant difference in tip projection ratios between the early and late postoperative periods for all groups. A significant negative difference was observed in tip rotation angles between the early and late postoperative periods.

Although adequate satisfaction and stable tip dynamics were achieved in the long term in all 9 groups, suture techniques, especially the triple cartilage combining suture (TCCS), provided successful results without needing a cartilage graft.