Rhinoplasty
Conditions
Brief summary
The aim of the study to compare and evaluate the effect of septal advancement flap in preserving and reshaping the nasal tip with columellar strut graft
Detailed description
The ideal tip support graft should support the exact position over time, avoid stiffness of a natural soft structure of the tip, be easily harvested typically septal cartilage, facilitate surgeon control of rotation and projection. To address these desirable features the septal advancement flap (SAF) was developed. The septal advancement flap (SAF) is a rotational advancement flap of the superior and caudal aspects of the cartilaginous septum that enables the surgeon to create stable and accurate tip shape and position. This is a technically easy and reliable flap mainly applicable to primary rhinoplasty. so investigator compare between this new technique and old one like columellar strut to know the effect on nasal tip
Interventions
PROCEDUREcomparison of septal advancement flap effect on nasal tip in primary rhinoplasty to columellar strut technique
All patients will be operated on under general anesthesia through an open rhinoplasty then will undergo 2 different procedures according to each group.
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Droopy nasal tip
Exclusion criteria
* severely deficient cartilaginous septum. * previous nasal operations, history of cleft lip or cleft palate. * bleeding disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| subjective assessment using Rhinoplasty Outcome Evaluation Questionnaire | preoperative and one month postoperative | Assessment of patient satisfaction with primary septorhinoplasty using the Arabic Rhinoplasty Outcome Evaluation (ROE) Questionnaire and comparing the preoperative with postoperative scores. The ROE comprises 6 questions. Each answer is scored on a scale from 0-4, where 0 corresponds to the most negative answer and 4 corresponds to the most positive answer. As a result, the total score can range from 0 to 24. To make the results easier to understand, the total score can be divided by 24 and multiplied by 100 to obtain a value between 0% and 100%, where higher values represent greater patient satisfaction. |
| measuring the degree of tip projection and rotation preoperative and postoperative | Preoperative,one month and six months postoperative | Objective assessment by measuring the degree of tip projection and rotation preoperative and postoperative by using the angle between the columella and the line intersecting the junction between the columella and the upper lip and the vermilion border of the upper lip for measuring the nasolabial angle. |
Countries
Egypt
Outcome results
None listed