Age- and Gender-Related Variability in Nasal Tip Support.

Abstract

The age at which nasal tip support changes start to occur is unknown. Evaluation of nasal tip support is difficult, especially as the ideal nasal tip support pressure remains elusive. The aim of this study is to determine the nasal tip support pressure alterations relative to age and sex. The aim of this study is to determine the changers in resistance of the nasal tip support in relation to age and sex. This prospective clinical study was conducted between January and April 2019 at a tertiary health facility. Nasal tip resistances were measured in four different age-groups (20-29, 30-39, 40-64, and > 65years) with a digital Newton meter. A total of 159 patients with a minimum of 36 patients per group were included in the study. Nasal tip resistance measurements were compared among nasal tip displacement distances of 2, 3, and 4mm, focusing on age and sex. The nasal tip resistance of the 20-29 age-group was significantly higher at 2, 3, and 4mm nasal tip displacement distances, when compared with the 30-39 and 40-64 age-groups, whereas compared to the > 65years group, it was significantly higher at 3 and 4mm nasal tip displacement distances (p < 0.005). Nasal tip resistance of males was found to be significantly higher than that of females, at 3 and 4mm nasal tip displacement distances (p < 0.001). Nasal tip resistance is higher in males and universally decreases significantly after 30years of age while remaining constant at later ages. Therefore, surgeons should prefer nasal tip resistance increasing techniques in the rhinoplasty operations that are performed on patients even from early years of age, in order to maintain and strengthen the nasal tip resistance. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.