The Long-Term Results Of Suture And Graft Techniques Used To Increase Tip Projection and Rotation In Open Technique Septorhinoplasty

Authors : Sermin CAN, Tuba BAYINDIR, Tamer ERDEM, Serdar Ferit TOPRAK

Pages : 590-596

Doi:10.5798/dicletip.1220748

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Publication Date : 2022-12-19

Article Type : Research Paper

Abstract :Background: In this study, we aimed to evaluate the long-term results of suture and graft techniques used to increase tip projection and rotation in Open Technique Septorhinoplasty. Methods: In this study, the data of 89 patients who underwent Open Technique Septorhinoplasty were analysed retrospectively. The patients were divided into groups 1,2,3,4 and 5 according to the suture and graft techniques used. Preoperative and postoperative photographs of all patients included in the study at the 1st, 3rd, 6th, 12th, 36th and 60th months were analyzed. To measure and compare these techniques, tip projection and rotation losses were measured on all photographs using a computer program called Imagej. Results: A statistically significant increase was found between the preoperative mean Nasolabial Angle insert ignore into journalissuearticles values(NLA);, Type Angle insert ignore into journalissuearticles values(TA);, Byrd–Hobar Method insert ignore into journalissuearticles values(BHM); and Nasofacial Angle insert ignore into journalissuearticles values(NFsA); measurement values and the measurement values at 36th months postoperatively in Groups 1 and 4 insert ignore into journalissuearticles values(p < 0.05);. In Group 2, a statistically significant increase was found between preoperative mean NLA, TA and BHM measurement values and postoperative 36th month measurement values insert ignore into journalissuearticles values(p < 0.05);. In group 1 only, there was a statistically significant difference between the preoperative mean TA, BHM, Simons Method insert ignore into journalissuearticles values(SM);, Goode Method insert ignore into journalissuearticles values(GM); and Powell-Modified Baum Method insert ignore into journalissuearticles values(PMBM); measurement values and the postoperative measurement values at 60th months insert ignore into journalissuearticles values(p < 0.05);. Conclusions: Our results showed that suture techniques were more effective on projection and rotation than graft techniques in the long term.
Keywords : Septorhinoplasty, greft technique, suture technique, nasal tip rotation, nasal tip projection