Although many techniques have been described to achieve a desired result in tip surgery, there are few studies that define or analyze the changes that occur after surgery. This study was made to document changes in nasal tip projection. crural and lobular lengths of the columella. columellar length, and proportional relationships of tip projection and columella with dorsal length.
This study was conducted on 20 patients who underwent primary rhinoplasty. Patients were dassljied into 2 groups, ( group 1, the ripbinding suture group) and group 2 (the cartilaginous graft group). Analysis was based on data collected from preoperative and l-year postoperative lateral views ofpatients. The measurements were obtained using the parameters regarding tip projection and rotation on standardized photographs. The values were statistically analyzed with paired and unpaired t tests.
I T'ne changes in all parameters except crural length were statistically slgnljicant in the tip-binding suture group. In contrast. the statistical analysis of the cartilaginous graft group revealed prominent dimensional changes in tip projection and especially in crural and lobular segments.