Different techniques for correction of overprojected nasal tip

Document Type : Original Article

Authors

1 Otolaryngology faculty of medicine zagazig university

2 Professor of ENT, Faculty of Medicine, Zagazig University

3 ahmed_mligy2007@yahoo.com

Abstract

Background: The over projected nasal tip and the ptotic tip are two of the most challenging nasal deformities to correct during rhinoplasty. Methods: This study was done in the Department of ENT, Zagazig University Hospital from January 2018 to January 2019. It was done on 18 patients who experienced over-projected nasal tip and underwent rhinoplasty. All patients were operated by open rhinoplasty technique using general anesthesia with oral intubation. Results:T here was no statistically significant difference between the fivedifferent groups as regard age and sex distribution. There was statistically significant reduction in radix- tip of nose postoperatively in all techniques except separation of foot plate from caudal part of septum method. There was statistically significant reduction in Alar- tip of nose postoperatively than preoperatively in all techniques except separation of foot plate from caudal part of septum method didn’t show statistically significant reduction in Alar- tip of nose postoperatively. There was statistically significant reduction in Alar- tip/Radix-tip of nose postoperatively in all techniques. Conclusions: We concluded that in cases neededdeprojection with rotation, it is better to perform lateral crural over lay technique, while in cases needed deprojection with derotationit isbetter to perform medial crural overlay technique. In cases needed deprojection with maintain rotation it is better to perform medial and lateral overlay techniques, and in cases suffered from mild over-projected nasal tip it is better to perform separation of foot plate from caudal part of septum only.

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