Scroll Turbinate Inter-cartilaginous Graft (STIG)

Scroll tension is a complex problem often associated with some of the most difficult nasal deformities to address. This is particularly challenging in cases with excessive vestibular skin loss and scar tissue contraction. Several surgical techniques have been described with all sharing the same goal: the creation of a functionally and aesthetically pleasing nasal tip/alar complex.

The choice of graft is crucial for optimal long-term results. Some techniques can result in donor site morbidity, nasal valve problems, and suboptimal cosmesis.

Inferior turbinate mucosa is readily available, thin yet robust, and easily harvested with minimal donor site morbidity.

We present a retrospective analysis of 22 patients with scroll tension related to alar retraction, nasal stenosis, and saddle nose deformity managed with the scroll turbinate intercartilagenous graft (STIG) technique employed in combination with a septal extension graft, lateral crural tensioning, and articulated alar rim grafts.

Our technique was successfully employed in all patients with correction of both external deformity and functional problems. The minimum follow-up period was 12 months. There were no complications and no significant graft failure.

The STIG technique is a relatively easy, safe, and effective technique that provided a favorable outcome in all patients.