Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 5 Issue 11

Essential Role of Columellar Strut Graft on Projection and Rotation of Nasal Tip in Open Rhinoplasty

Nikita Rolekar1* and Sidharth Misra2

1Department of Plastic Surgery, Assistant Professor, Terna Speciality Hospital and Research Centre, India
2Department Of General Surgery, Extern, Terna Speciality Hospital and Research Centre, India

*Corresponding Author: Nikita Rolekar, Department of Plastic Surgery, Assistant Professor, Terna Speciality Hospital and Research Centre, India.

Received: August 31, 2023; Published: October 27, 2023


Background: The columellar strut remains a popular and effective form of an invisible graft in rhinoplasty and historically been assumed to be a technique that increases tip projection. Purpose of our study is to assess the essentiality of columellar cartilage graft in tip projection and rotation using digitized photographs.

Method: We have used photographs of 25 patients who underwent open rhinoplasty with columellar strut graft technique from January 2020 to April 2022 in Terna Multispeciality Hospital and Research Centre. Out of the 25 patients, 11 were male and 14 were female with the age group of 18-45 years. The closed rhinoplasty, secondary rhinoplasty and congenital nose deformity patients have been excluded. Standardized right profile images were taken and patient’s pre and post operative photographs were compared.

Result: The average age of the patients in the study was 27.96 years ranging from 18 to 42 years with 44% were males while 56% were females. The mean preoperative nasal tip projection that is determined by the Goode’s ratio Al to NTi : Na to NTi ratio was 0.566 while the mean postoperative ratio was 0.5808 after one year. The mean preoperative Nasolabial angle was found to be 95.56° while on follow up of one year was 103.28°.

Conclusion: Open rhinoplasty with a columellar strut graft increases the nasolabial angle and the nasal tip projection. It also provided stability to nasal tip by giving support to the lower lateral cartilages.

Keywords: Open Rhinoplasty; Columellar Strut Graft; Goode’s Ratio; Nasolabial Angle


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Citation: Nikita Rolekar and Sidharth Misra. “Essential Role of Columellar Strut Graft on Projection and Rotation of Nasal Tip in Open Rhinoplasty".Acta Scientific Otolaryngology 5.11 (2023): 08-12.


Copyright: © 2023 Nikita Rolekar and Sidharth Misra. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate34%
Acceptance to publication20-30 days
Impact Factor0.871

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