Scroll Turbinate Inter-cartilaginous Graft (STIG).

Area of Science:

• Plastic Surgery
• Otolaryngology
• Nasal Reconstruction

Background:

• Scroll tension presents significant challenges in nasal deformities, especially with skin loss and scar contraction.
• Existing surgical techniques aim for functional and aesthetic nasal tip/alar complex reconstruction but can have drawbacks.
• Graft choice is critical, with some methods causing donor site issues or suboptimal results.

Purpose of the Study:

• To evaluate the efficacy of the scroll turbinate intercartilagenous graft (STIG) technique in managing scroll tension-related nasal deformities.
• To assess the functional and aesthetic outcomes of the STIG technique combined with other reconstructive elements.

Main Methods:

• Retrospective analysis of 22 patients with alar retraction, nasal stenosis, or saddle nose deformity.
• Application of the STIG technique in conjunction with septal extension grafts, lateral crural tensioning, and articulated alar rim grafts.
• Minimum follow-up period of 12 months to assess outcomes and complications.

Main Results:

• Successful correction of both external deformity and functional issues in all 22 patients.
• No reported complications or significant graft failures during the follow-up period.
• The STIG technique demonstrated consistent positive outcomes.

Conclusions:

• The STIG technique, combined with other grafts, offers a safe, easy, and effective solution for complex nasal deformities.
• This approach provides favorable aesthetic and functional results for patients with scroll tension.
• Inferior turbinate mucosa is a viable graft material with minimal donor site morbidity.