THE ROLE OF SEPTOCOLUMELLAR SUTURE IN TIP PLASTY IN PRIMARY OPEN RHINOPLASTY

Volume 13 , Issue 4 , July 2025 , Pages 359-369

Authors

Hiwa Asaad Abdulkareem 1

1 College of Medicine, University of Sulaimani, Kurdistan Region, Iraq.

DOI logo 10.17656/jsmc.10430

Keywords

Abstract

Background
Proper nasal tip control is a diffi cult step in rhinoplasty, and maintaining a proper nasal tip projection and
rotation is mandatory in rhinoplasty, septocolumellar suture is a single maneuver that is useful for getting a
stable nasal tip with the desired projection and rotation.
Objective
To evaluate the effect of septocolumellar suture on the degree of nasal tip projection and rotation by comparing
the pre and postoperative results.
Patient and Methods
A prospective, descriptive study was conducted in the period from Jan 2019 –to Dec 2019 on 50 patients
with ages ranging (18- 44), underwent primary open rhinoplasty in (ENT, Head and Neck Surgery Sulaimani
Teaching Center) and (Zhyan Private Hospital), follow-up was done three and six months postoperatively, the
nasal tip projection and rotation were assessed, and were compared with the preoperative data and analyzed
statistically using SPSS version 22.
Results
Among included patients, all underwent an open rhinoplasty with septocolumellar suture, 72 % of them are
female and 28% of them are male, with the age range of (18-44), the Goode’s ratio increased to 52% and
decreased in 48%, and The nasolabial angle increased from 89.33 to 98.94, so the nasal tip rotation increased.
Conclusions
The septocolumellar suture technique is a useful manoeuvre to decrease and increase the nasal tip projection
to a limited range and increase nasal tip rotation, so it is a useful way to achieve these two changes with a
single manoeuvre.

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  • First online26 July 2025
  • Published at26 July 2025

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