Karaiskakis Periklis, Bromba Michael, Dietz Andreas, Sand Michael, Dacho Andreas
Clinic for Plastic Surgery, Katholische Kliniken Ruhrhalbinsel, Heidbergweg 22-24, 45257, Essen, Germany.
Clinic of Otolaryngology, Head and Neck Surgery, University of Leipzig, Liebigstraße 10-14, 04103, Leipzig, Germany.
Eur Arch Otorhinolaryngol. 2016 Sep;273(9):2555-60. doi: 10.1007/s00405-016-3911-y. Epub 2016 Feb 4.
The reconstruction of the nasal tip support is one of the most essential issues in septorhinoplasty. A comparison of the results after using the tongue-in-groove technique and the columellar strut technique was the target of this study. Thirty-three patients who underwent a primary, open approach septorhinoplasty using the above-mentioned techniques were retrospectively analyzed. The gain in tip rotation postoperatively, the sensitivity and the rigidity of the nasal tip and the aesthetic outcome after surgery were examined and evaluated. Both techniques led to an increase in nasal tip rotation postoperatively. The gain in rotation was higher in patients, treated with the tongue-in-groove technique (p = 0.0052). The sensitivity of the tip region in the tongue-in-groove group of patients was significantly lower than that in the columellar strut group of patients (p = 0.0424). Both techniques led to high percentages of tip rigidity after surgery with satisfactory aesthetic results though. The tongue-in-groove technique and the columellar strut technique are both reliable techniques for reconstructing the nasal tip support and correcting a droopy tip. Although the tongue-in-groove technique might result in a more significant increase in tip rotation, it leads to less sensitivity in the tip region.
鼻尖支撑结构的重建是鼻中隔鼻整形术中最重要的问题之一。本研究旨在比较榫槽技术和鼻小柱支撑技术的术后效果。回顾性分析了33例采用上述技术行初次开放式鼻中隔鼻整形术的患者。观察并评估术后鼻尖旋转度的增加、鼻尖的敏感度和硬度以及手术的美学效果。两种技术均使术后鼻尖旋转度增加。采用榫槽技术治疗的患者旋转度增加更高（p = 0.0052）。榫槽组患者鼻尖区域的敏感度明显低于鼻小柱支撑组患者（p = 0.0424）。不过，两种技术术后均有较高比例的鼻尖硬度，美学效果令人满意。榫槽技术和鼻小柱支撑技术都是重建鼻尖支撑结构和矫正鼻尖下垂的可靠技术。虽然榫槽技术可能会使鼻尖旋转度增加更明显，但它会导致鼻尖区域的敏感度降低。
