الفهرس 
AbstractOnly 14 pages are availabe for public view
 |  | from | 183 |  |  |
| | | from | 183 | | |
Abstract
Summary
Rhinoplasty is considered one of the most difficult facial plastic surgeries in which the surgeon is expected to achieve simultaneous nasal coordination and alignment with other parts of the face and enhance the strength and support of the nose. Long-term achievement of these results is among the demanding duties of the surgeons.
Columellar strut and septal extension grafts establish tip projection and rotation by defining the tip of the nose and the interaction between the tip cartilage and septum. The graft may resorb, shrink, or move over time, changing the initial appearance.
40 patients were sorted equally in a random pattern in 2 groups, group A for those submitted to Columellar strut graft and group B for those submitted to Septal extension graft. Open rhinoplasty was the technique of choice. The mean age of patients performed Columellar strut graft was 26.55±5.708 and most of them were males while the mean age of patients submitted to Septal extension graft was 27.45±7.674 and most of them were males.
Among all studied cases, the majority of cases (52.5%) were presented with deviated dorsum septum. Trauma was the most common cause for deformities seen in (60%) of cases who sought rhinoplasty. The source of grafts used for CS and SEG was the nasal septum in 97.5% of cases where costal cartilage was used in only one case.
Evaluation techniques enrolled manual measures like caliber and syringe for tip projection in addition to computer software like Rhinobase and Adobe Photoshop, which also managed to measure tip rotation as well. Patients were evaluated at four timings, preoperative, immediate postoperative, 3 and 6 months postoperative.
Comparing the data collected from pre and postoperative visits revealed that, both columellar strut and septal extension graft exhibit similar changes in tip projection and rotation with no significant differences between both groups when followed up for 6 months postoperative.
The mean satisfaction rate for patients was 91.06±3.99 for columellar strut graft and 91.35±3.24 for septal extension graft. There was no significant difference regarding surgeon or patients’ satisfactions between the two studied groups.