Gentile P, Cervelli V. Cartilage Remodeling in Nasal Tip Rhinoplasty Using "Lateral Crural Steal" and "Tongue in Groove" Strategies: A Randomized Controlled Trial.
J Craniofac Surg 2022;
33:1099-1103. [PMID:
34519703 DOI:
10.1097/scs.0000000000008083]
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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.
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