The Comparison of the Long-Term Efficiency of Short Columellar Strut Graft and Suture Techniques on Maintaining Nasal Tip Projection and Nasolabial Angle Following Primary Open Rhinoplasty

Introduction:We aimed at comparing nasal tip projection and nasolabial angle changes following primary open rhinoplasty with short-floating columellar strut graft and suture techniques.Methods:Participants were divided into two groups depending on the type of technique employed. In the first group, short-floating columellar strut grafts were employed. The second group involved those who underwent suture techniques only.Results:We included 119 patients who underwent primary rhinoplasty in the study. The mean value of preoperative nasolabial angle measurement was 92.77±8.5 degrees and 92.14±6.7 degrees in groups 1 and 2, respectively. Postoperative nasolabial angle measurement in group 1 was 107.2, 104.3 and 101.3 degrees in the 1st, 3rd, and 5th postoperative year, respectively. Postoperative nasolabial angle measurement in group 2 was 107.4, 104, and 102.2 degrees in the 1st, 3rd, and 5th postoperative year respectively. The mean value of preoperative nasal tip projection was 0.605±0.07 and 0.653±0.08 in groups 1 and 2, respectively. Postoperative nasal tip projection measurement in group 1 was 0.636, 0.632 and 0.627 in the 1st, 3rd, and 5th postoperative year, respectively. Postoperative nasal tip projection measurement in group 2 was 0.656, 0.634 and 0.632 in the 1st, 3rd, and 5th postoperative year, respectively.Conclusion:Suture techniques were efficient than columellar strut grafts in maintaining the nasolabial angle but not the nasal tip projection when.