KBB-Forum 2023 , Cilt 22, Sayı 3

COMPARISON OF THE EFFECTIVENESS OF NASAL SUTURES FOR ENSURING THE CONTINUITY OF NASAL PROJECTION AND MAINTAINING NASAL PROJECTION

Elad AZİZLİ 1, MD Oğuzhan OĞUZ 2, MD Nuray BAYAR MULUK 3, MD Rıza DÜNDAR 4, MD Cemal CİNGİ 5, MD
1Private practice, Otolaryngology Specialist, Istanbul, Turkey
2Istanbul Nişantaşı University, Health Services Vocational School, Department of Audiology, Istanbul, Turkey
3Kırıkkale University, Faculty of Medicine, Department of Otorhinolaryngology, Kırıkkale, Turkey
4Bilecik Şeyh Edebali University, Faculty of Medicine, Department of Otorhinolaryngology, Bilecik, Turkey
5Eskişehir Osmangazi University, Medical Faculty, Department of Otorhinolaryngology, Eskişehir, Turkey Objectives: In this retrospective study, four sutures frequently used for continuity of tip projection and arrangement of nasolabial angle were compared.

Methods: A total of 400 patients who underwent rhinoplasty surgery with Tebbetts tip rotation suture, interdomal suture with cartilage strut, triple cartilage suture and tongue-in-groove suture between 2017 and 2022, completed a one-year postoperative period were included in the study. In 4 centers, four sutures frequently used for continuity of tip projection and arrangement of nasolabial angle were compared. The nasolabial angle and projection from the face were measured by using the lateral photographs taken before and one month, and one year after surgery. Nasolabial angle change between preoperative and postop first month; and postoperative first month-1st year were evaluated, and VAS for patient and surgeon satisfaction from rhinoplasty were evaluated.

Results: Tebbett's Tip rotation suture, Interdomal suture with cartilage strut, and Triple cartilage suture's nasolabial angle change values were higher than Tongue-in-groove between preoperative period and postoperative first month; and at the first postoperative period (adjusted <0.0125). From the patients" view, Group 1's patient satisfaction from the rhinoplasty results in VAS score was significantly higher than Group 4's. From the surgeons" view, Group 1's surgeon satisfaction from the rhinoplasty results in VAS score was significantly higher than those of Group 2 and Group 4's surgeon satisfaction (adjusted <0.0125).

Conclusion: It shows that continuity of tip projection was maintained by Tebbetts Tip rotation suture, interdomain suture with cartilage strut, and triple cartilage suture at one 1-year after the operation. Keywords : Type projection, Tebbett's suture, dome suture with cartilage strut, triple cartilage suture