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Anales de Otorrinolaringología Mexicana

2019, Number 4

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Otorrinolaringología 2019; 64 (4)

Transurgical changes in projection and rotation of nasal tip with the use of septocolumellar suture

Cordero-Yanza JA, Hernaiz-Leonardo JC, Mancera-Sánchez J, Tinajero-Esquivel MM, Ramírez-Oropeza FJ

Language: Spanish
References: 19
Page: 171-176
PDF size: 335.49 Kb.


ABSTRACT

Background: The management of the nasal tip is of great importance in rhinoplasty. The septocolumellar suture can help the surgeon achieve a greater projection and rotations when managing the nasal tip.
Objective: To determine the changes in trans-surgical projection and rotation of the nasal tip with the use of the septocolumellar suture.
Material and Method: A quasi-experimental before and after study. We included patients undergoing primary rhinoplasty from April to August 2017. After managing the nasal tip, pre- and post-septocolumellar suture photographs were taken and analyzed. The nasal projection was evaluated using the Goode method, the nasolabial angle was measured to evaluate nasal tip rotation.
Results: There were included 30 patients, 26 (86.7%) were females. The average age was 23 ± 8 years old. In 18 patients (60%) a delivery approach was used, and cartilaginous grafts were applied; in 12 (40%) a retrograde approach was chosen and an interdomal suture was applied. Before the suture, the mean Goode’s index was 0.67 ± 0.5, increasing to 0.75 ± 0.5 postsuture (p ‹ 0.001). The nasolabial angle increased from 97 ± 10º presuture to 107 ± 9º postsuture (p ‹ 0.001).
Conclusions: The application of the septocolumellar suture after the adequate management of the nasal tip significantly increases both projection and rotation. In addition, it provides more stability and support of nasal tip, mainta


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