Background: Correction of the nasal tip in rhinoplasty
surgery with better tip support needs a considerable effort.
For that issue, we used certain technique which is the use of
L-shaped columellar strut fixed in inverted position as septal
extension graft for better tip projection and fixation.
Aim of Work: Assessment of the use of inverted L-shaped
columellar strut in rhinoplasty surgery for correction of nasal
tip shape and position with more stable nose.
Patients and Methods: This study included 15 patients
who are candidate for rhinoplasty surgery for correction of
nasal tip. They underwent surgery through open approach
rhinoplasty in which special collumellar strut used as septal
extension graft to achieve good tip projection with modification
of the site of fixation to the caudal septum according to
additional nasal deformity present. Assessment of patients
done according to the photographs taken and patient's satisfaction.
Results: Of the 15 patients who have undergone this
procedure, 15 were available for follow-up. 7 patients showed
excellent results, 6 patients were considered as a good outcome
and 2 patients were considered as fair results.
Conclusion: Inverted L-shaped collumellar struts used as
septal extension graft proved to be effective to correct nasal
tip shape, position and stability.