Assessment of the Effect of Septocolumellar Suturing on Nasal Tip Rotation


The Department of Otorhinolaryngology, Elminshawy General Hospital in Tanta* and Department of Otorhinolaryngology, Faculty of Medicine, Tanta University**


Abstract Background: The nasal tip is the most dynamic and detailed part of the nose, and as such, proper alteration of the nasal tip structures remains one of the most difficult tasks of the rhinoplasty surgeon. The interrelationships between the structures forming the tip play an important role in the form and function of nose. Aim of Study: To evaluate the efficacy of septocolumellar suture in improving nasal tip rotation. Study Design and Setting: A prospective case series. Patients and Methods: Thirty consecutive patients who underwent septoplasty, a suture was taken between the caudal septum and the columella after finishing septoplasty. Facial analysis followed by photographic documentation using standard photographic profile view. All findings had been registered in patients preoperative and postoperative sheet. Results: Difference between preoperative and postopera-tive nasolabial angles in studied patients with mean 6.73 standard deviation 3.49 t-value 2.476441 and p-value <0.001 so it is statistically significant. Conclusion: It can be concluded that septocolumellar suturing is an easy, less invasive and short duration procedure that has an effective role in improvement of the droopy nasal tip.