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Preoperative goals met in primary open approach rhinoplasty without columellar strut grafts

Nasal tip projection, rotation and nasal profile proportion goals can be achieved with consistent accuracy without using the columellar strut cartridge grafts during primary open approach rhinoplasty.

A total of 100 patients who underwent primary open approach rhinoplasty without the use of a columellar strut were reviewed retrospectively through a quantitative analysis of preoperative, morphed and postoperative digital images. The researchers also surveyed patients’ satisfaction with long-term postoperative results.

Results showed the preoperative nasal tip projection was not significantly different from the morphed nasal tip projection or the actual postoperative nasal tip projection. Additionally, the Pearson parametric correlation between the planned and actual changes obtained in nasal tip projection was 0.791, which indicated a strong, statistically significant correlation, according to the researchers.

Ninety-two of the initial 100 patients responded to the postoperative survey, in which they were asked to rate current satisfaction with the functional elasticity of their nose during personal hygiene activities like wiping and cleaning, as well as social interaction activities like kissing and smiling, on a scale of one to five. Results showed patients’ average satisfaction score during personal hygiene activities was 4.5, and the average satisfaction score during social interaction activities was 4.8, according to the researchers.

The researchers concluded that the absence of a columellar strut cartridge graft did not result in the deterioration of the final nasal tip position. - by Abigail Sutton
Disclosure: The researchers report no relevant financial disclosures.