TY - JOUR
T1 - The effect of the columellar strut graft on nasal tip position in primary rhinoplasty
AU - Rohrich, Rod J.
AU - Kurkjian, T. Jonathan
AU - Hoxworth, Ronald E.
AU - Stephan, Phillip J.
AU - Mojallal, Ali
PY - 2012/10
Y1 - 2012/10
N2 - BACKGROUND: The columellar strut cartilage graft has historically been assumed to be a technique that increases tip projection. The purpose of this study was to retrospectively analyze a series of 100 consecutive rhinoplasty cases by the senior author (R.J.R.) with a specific focus directed toward the effect of the columellar strut on final tip position, namely, tip projection and tip rotation. METHODS: Medical information and digital images were obtained from 100 consecutive primary rhinoplasty patients. All postoperative images were obtained from 1-year or greater follow-up visits. Preoperative and postoperative digital images were compared using a software application that quantitatively analyzed various facial anatomical features, including the nasofrontal angle, the nasolabial angle, tip projection, and tip translation. RESULTS: Tip projection (defined as the tip position on the x axis) actually decreased in 65 percent, increased in 27 percent, and was unchanged in 8 percent of subjects. Tip translation (defined as the tip position on the y axis) was decreased in 59 percent, increased in 34 percent, and unchanged in 7 percent. The nasofrontal angle was increased in 67 percent, decreased in 23 percent, and unchanged in 10 percent of patients. The nasolabial angle was increased in 46 percent, decreased in 34 percent, and unchanged in 20 percent. CONCLUSION: Use of the columellar strut cartilage graft does not necessarily imply an increase in tip projection, but rather serves as a means of unifying the nasal tip and helping to control final tip position. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
AB - BACKGROUND: The columellar strut cartilage graft has historically been assumed to be a technique that increases tip projection. The purpose of this study was to retrospectively analyze a series of 100 consecutive rhinoplasty cases by the senior author (R.J.R.) with a specific focus directed toward the effect of the columellar strut on final tip position, namely, tip projection and tip rotation. METHODS: Medical information and digital images were obtained from 100 consecutive primary rhinoplasty patients. All postoperative images were obtained from 1-year or greater follow-up visits. Preoperative and postoperative digital images were compared using a software application that quantitatively analyzed various facial anatomical features, including the nasofrontal angle, the nasolabial angle, tip projection, and tip translation. RESULTS: Tip projection (defined as the tip position on the x axis) actually decreased in 65 percent, increased in 27 percent, and was unchanged in 8 percent of subjects. Tip translation (defined as the tip position on the y axis) was decreased in 59 percent, increased in 34 percent, and unchanged in 7 percent. The nasofrontal angle was increased in 67 percent, decreased in 23 percent, and unchanged in 10 percent of patients. The nasolabial angle was increased in 46 percent, decreased in 34 percent, and unchanged in 20 percent. CONCLUSION: Use of the columellar strut cartilage graft does not necessarily imply an increase in tip projection, but rather serves as a means of unifying the nasal tip and helping to control final tip position. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
UR - http://www.scopus.com/inward/record.url?scp=84866984802&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84866984802&partnerID=8YFLogxK
U2 - 10.1097/PRS.0b013e318262f3a9
DO - 10.1097/PRS.0b013e318262f3a9
M3 - Article
C2 - 23018701
AN - SCOPUS:84866984802
SN - 0032-1052
VL - 130
SP - 926
EP - 932
JO - Plastic and reconstructive surgery
JF - Plastic and reconstructive surgery
IS - 4
ER -