Cartilage Remodeling in Nasal Tip Rhinoplasty Using “Lateral Crural Steal” and “Tongue in Groove” Strategies: A Randomized Controlled Trial : Journal of Craniofacial Surgery

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Cartilage Remodeling in Nasal Tip Rhinoplasty Using “Lateral Crural Steal” and “Tongue in Groove” Strategies: A Randomized Controlled Trial

Gentile, Pietro MD, PhD; Cervelli, Valerio MD

Author Information
Journal of Craniofacial Surgery 33(4):p 1099-1103, June 2022. | DOI: 10.1097/SCS.0000000000008083

Abstract

Background: 

The authors present their experience using “Lateral Crural Steal” (LCS) and “Tongue in Groove” (TING) techniques in nasal tip remodeling.

Objectives: 

The paper aimed to evaluate the efficacy and safety of the use of LCS and TING in nasal tip remodeling for aesthetic improvement.

Methods: 

A randomized controlled trial was conducted. Thirty-five patients affected by low and boxy nasal tips were treated with LCS and TINGs (study group [SG]), comparing results with the control group (CG) (n = 30) treated with cartilage grafts. The preoperative analysis has been performed with an accurate clinical evaluation, a photographic assessment, and a computed tomography scan. Postoperative follow-up took place at 1, 2, and 4 weeks, 3, 6, and 12 months, and then annually.

Results: 

A total of 82.9% (n = 29) of SG patients showed excellent cosmetic and functional results after 1 year compared with the CG patients, who showed the same results in only 40% (n = 12) of cases. The tip projection maintenance and contour restoring in the SG were higher than that in the CG (P < 0.0001 versus CG).

Conclusions: 

The use of LCS and TING was safe and effective in this series of cases performed.

Copyright © 2021 by Mutaz B. Habal, MD

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