COMPARISON BETWEEN COLUMELLAR STRUT AND TONGUE-IN-GROOVE TECHNIQUE, AS TO THE ROTATION AND PROJECTION EFFECTS OF THE NASAL TIP: A RETROSPECTIVE STUDY

Abstract

Rhinoplasty is one of the most challenging facial plastic surgeries. Some authors claim that this surgery should include stabilization of the base of the nose by means of some technique — for example, grafts (columellar strut, septal extensor) or sutures (tongue-in-groove). To try to elucidate which technique is ideal, this study evaluated the effects on nasal tip rotation and projection, comparing columellar strut to the tongue-in-roove technique. A retrospective study was conducted, which consisted of a preoperative and postoperative photographic analysis of patients who underwent rhinoplasty, in 2017 and 2018, at the Instituto Paranaense de Otorrinolaringologia (Curitiba/PR, Brazil) The Rhinobase® program was used to obtain measurements. After data analysis, it was observed no statistically significant difference between the groups, which was also observed by some authors who carried out similar studies in other countries. It can be concluded that both strut and tongue-in-groove are similar techniques for maintaining nasal tip projection and rotation in the postoperative period of rhinoplasty