The Outcome of Using Different Techniques for Centralization of the Nasal Tip

The Outcome of Using Different Techniques for Centralization of the Nasal Tip Mohamed S. Aly 1, Bashayr A. Bajaber 2, Ghayda'a S. Hazzazi 2, Haneen A. Abba 2, Rahaf Y. Alahmadi 2, Sara M. Aletyani 2 and Shoug N. Aldayah 2 1 (Author) Consultant Otolaryngology - Head and Neck Surgery, King Abdullah Medical City, Mecca, KSA. 2 (co-author) Medical Intern, Umm Al-Qura?a University, Mecca, KSA. Purpose Tip surgery in rhinoplasty is one of the most challenging procedures that evolves the surgeon to narrow the interdomal distance and centralize the nasal tip1. This can be approached by different techniques, either closed or opened techniques (Extra-corporeal, Open book, Combined and Septal Extension and Extended Spreader graft techniques). Due to lack of information in the literature, we decided to compare the results of the five techniques and choose the most suitable one for the Middle Eastern population and focus on it in our practice. Method Retrospective review was performed on 134 patients who underwent septo-rhinoplasty at the department of Otolaryngology, Head and Neck Surgery at King Abdullah Medical City, Mecca, Saudi Arabia.16 patients underwent septo-rhinoplasty with closed technique, 46 with Combined technique, 46 with Open book technique, 11 with Extra-corporeal technique and 17 patients with Septal Extension and Extended Spreader Graft technique. Patients' data were collected and analyzed to compare the results of the five techniques after IRB approval. Results Open book technique gave the best results based on the narrowing of the interdomal distance and correction the angle of nasal tip deviation, including a score of patient's satisfaction with the aesthetic look and breathing pre and post-operatively. Conclusion Opened techniques give good post-operative results, but Open book technique showed to be the best among all techniques used to correct the deviation of the nasal tip.