THE ROLE OF SEPTOCOLUMELLAR SUTURE IN TIP PLASTY IN PRIMARY OPEN RHINOPLASTY

Abstract

BackgroundProper nasal tip control is a difficult step in rhinoplasty, and maintaining a proper nasal tip projection and rotation is mandatory in rhinoplasty, septocolumellar suture is a single maneuver that is useful for getting a stable nasal tip with the desired projection and rotation. ObjectiveTo evaluate the effect of septocolumellar suture on the degree of nasal tip projection and rotation by comparing the pre and postoperative results. Patient and MethodsA prospective, descriptive study was conducted in the period from Jan 2019 –to Dec 2019 on 50 patients with ages ranging (18- 44), underwent primary open rhinoplasty in (ENT, Head and Neck Surgery Sulaimani Teaching Center) and (Zhyan Private Hospital), follow up was done three and six months postoperatively, the nasal tip projection and rotation were assessed, and were compared with the preoperative data and analyzed statistically using SPSS version 22. ResultsAmong included patients, all underwent an open rhinoplasty with septocolumellar suture, 72 % of them are female and 28% of them are male, with the age range of (18-44), the Goode’s ratio increased to 52% and decreased in 48%, and The nasolabial angle increased from 89.33 to 98.94, so the nasal tip rotation increased. ConclusionsThe septocolumellar suture technique is a useful manoeuvre to decrease and increase the nasal tip projection to a limited range and increase nasal tip rotation, so it is a useful way to achieve these two changes with a single manoeuvre.