Rinoplastide kolumellar strut greft ve septal ekstensiyon greft kullanımının burun projeksiyonuna olan etkisinin incelenmesi / Comparison between the projection effects of kolumellar strut graft and septal extension graft in rhinoplasty

Abstract

BACKROUND Rhinoplasty is one of the most common operations in Plastic Surgery. It's veryimportant to control tip projection and rotation after rhinoplasty. Loss of projection androtation after surgery is a common problem. Numerous approaches and techniques have beendecribed to achieve a desired result in tip surgery, but there are a few studies that define oranalyze the changes that occur after surgery. In this study ; we compared two methods theseare used to control projection and rotation. These methods are use of columellar strut graftand use of septal extension graft. We expect this study will be beneficial to the literature.METHODS In this study, we analyzed 36 patients who underwent primary rhinoplastyretrospectively. All the patient were operated by the same surgeon (Dr.Erhan Eryılmaz,MD).Kolumellar strut graft and septocolumellar suture were used in group 1 and septal extensiongraft was used in group 2. There were 18 patient in each goup. Analysis was based on datacollected from preoperative, 4.-8. months early postoperative and 16.-24. months latepostoperavtive lateral views. The measurements were obtained using the parametersprojection-nose length ratio according to Byrd-Hobar and nazolabial angle on standardizedphotographs with the software program ''Rhinobase''. The values were statistically analyzedwith SPSS 17 program.RESULTS There were no statistically significant difference between two groups by thepreoperative measurements. When we compared the late views with the early views, therewere statistically significant loss of projection and rotation in Group 1.CONCLUSIONS With these results we determined that the use of septal extension graft is more usefulthan the use of columellar strut graft to obtain a permanent result in long time.