Comparison of Septal Advancement Flap and Columellar Strut Effect on Nasal Tip

Tanta University

Status: Completed

Conditions: Rhinoplasty

Treatments: Procedure: comparison of septal advancement flap effect on nasal tip in primary rhinoplasty to columellar strut technique

Study type: Interventional

Funder types: Other

Identifiers

NCT06370455

36264MS429/11/23

Details and patient eligibility

About

The aim of the study to compare and evaluate the effect of septal advancement flap in preserving and reshaping the nasal tip with columellar strut graft

Full description

The ideal tip support graft should support the exact position over time, avoid stiffness of a natural soft structure of the tip, be easily harvested typically septal cartilage, facilitate surgeon control of rotation and projection.

To address these desirable features the septal advancement flap (SAF) was developed. The septal advancement flap (SAF) is a rotational advancement flap of the superior and caudal aspects of the cartilaginous septum that enables the surgeon to create stable and accurate tip shape and position. This is a technically easy and reliable flap mainly applicable to primary rhinoplasty.

so investigator compare between this new technique and old one like columellar strut to know the effect on nasal tip

Enrollment: 30 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Droopy nasal tip

Exclusion criteria

• severely deficient cartilaginous septum.
• previous nasal operations, history of cleft lip or cleft palate.
• bleeding disorders.

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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30 participants in 2 patient groups

Septal advancement flap group

Active Comparator group

Description:

Fifteen patients will undergo septal advancement flap technique The mucoperichondrial flaps are elevated over the cartilaginous septum and the caudal perpendicular plate of the ethmoid. investigator will take L shape flap of the dorsal and anterior end of cartilaginous septum then advance them and suture the flap at certain points so can support the nasal tip.

Treatment:

Procedure: comparison of septal advancement flap effect on nasal tip in primary rhinoplasty to columellar strut technique

Columellar strut group

Active Comparator group

Description:

fifteen patients will undergo columellar strut technique. investigator will extract columellar strut from septal cartilage then insert it between the two medial crura n the intercrural space and sutured to nasal spine so can support nasal tip.

Treatment:

Procedure: comparison of septal advancement flap effect on nasal tip in primary rhinoplasty to columellar strut technique