Comparing the Effects of Tongue in Groove and Strut Graft of Open Rhinoplasty on Nasal Tip Rotation and Projection
DOI:
https://doi.org/10.56056/Keywords:
Open rhinoplasty, Nasal tip projection, Nasal tip rotation, Strut graft, Tongue in grooveAbstract
Background and Objectives: Managing the nasal tip is a complex aspect of rhinoplasty, requiring an understanding of anatomical variations and their impact on tip support. Various procedures have been developed to enhance tip projection and tip rotation. This study compares effects of two such techniques in long-term, the tongue in groove and strut graft methods, on nasal tip projection and rotation.
Methods: This study was a randomized controlled surgical trial that was conducted at Rizgary Teaching Hospital – Otolaryngology department between January 2023, and October 2023. Forty patients undergoing rhinoplasty were randomly divided into two groups: Group A (strut graft) and Group B (tongue-in-groove). Both groups underwent open rhinoplasty using their respective techniques. Tip projection and rotation were measured pre- and postoperatively using Goode’s method and Adobe Photoshop. Statistical analysis was performed using SPSS version 26.
Results: The mean age of patients was 24.9±5.52 years, with females comprising 80%. Preoperative measurements showed no significant differences between groups. Postoperative comparisons revealed no significant difference in tip rotation (Tongue in groove: 102.9°±6.3° vs. Strut graft: 101°±5.4°, p>0.05), but a significant difference in tip projection (Tongue in groove: 64.1±8 vs. Strut graft: 70.6±6.8, p<0.01). Naso facial angles decreased significantly in both groups postoperatively.
Conclusion: Both Tongue in groove and strut graft techniques are effective for maintaining nasal tip projection and rotation. However, the strut graft technique showed a more significant increase in tip projection postoperatively.
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