Validation and clinical application of the Arabic rhinoplasty outcomes evaluation questionnaire.
Dhaifallah S Mulafikh, Sami E Alharethy, Almaha A Alqabbani...
https://pubmed.ncbi.nlm.nih.gov/34078728Actively Recruiting
Phase Not Applicable
Age: 18Years - 60Years
All Genders
ID07317947
The Effect of Lateral Crural Steal With Columellar Strut Graft on Nasal Tip Projection and Rotation in Primary Open Rhinoplasty
Led by Kafrelsheikh University · Updated on 2026-01-09
22
Participants Needed
1
Research Sites
4 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to evaluate how lateral crural steal combined with a columellar strut graft affects nasal tip projection and rotation in patients undergoing primary open rhinoplasty. Rhinoplasty is a common aesthetic surgery focused on reshaping the nose, with the nasal tip being a key and challenging area. The study addresses the need to preserve natural tip support and improve long-term outcomes by combining two surgical techniques to refine the nasal tip's shape and position. Participants will receive a primary open rhinoplasty procedure under general anesthesia. The surgery includes an open approach with specific incisions, correction of dorsal deformities, septoplasty, cartilage harvest, and cephalic trimming of lateral crura. The lateral crural steal technique repositions the lateral crus, while a columellar strut graft is inserted between the medial crura for added support. No extra grafts for projection enhancement are used. The incisions are closed, and nasal splints are applied after surgery. During the study, researchers will analyze nasal tip projection and rotation before surgery, immediately after, then at 6 months and 1 year post-operation. Patients will also complete satisfaction questionnaires before surgery, and again at 3 months and 1 year afterward. Follow-up visits will monitor the surgical outcome and patient satisfaction to assess the long-term stability and effectiveness of the combined surgical techniques.
CONDITIONS
Brief Title
Lateral Crural Steal With Columellar Strut Graft in Primary Open Rhinoplasty
Who Can Participate
Age: 18Years - 60Years
All Genders
Eligibility Criteria
You may qualify if you...
- Patients seeking primary rhinoplasty for aesthetic and/or functional indications.
- Presence of inadequate nasal tip projection and/or rotation suitable for correction using lateral crural steal with columellar strut graft.
- Ability to provide written informed consent and comply with follow-up visits.
- Age between 18 and 60 years.
You will not qualify if you...
- History of prior nasal surgery.
- History of severe nasal trauma altering cartilage architecture.
- Significant functional nasal obstruction requiring complex external nasal valve reconstruction.
- Excessively wide alar base requiring alar base reduction involving vestibular sill excision.
- Facial skeletal or developmental abnormalities such as maxillary hypoplasia, maxillary prognathism, or dentofacial deformities.
- Psychiatric illness or Body Dysmorphic Disorder.
- Significant medical comorbidities contraindicating elective surgery or general anesthesia.
- Inability to provide informed consent or comply with follow-up visits.
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
1
2
3
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - Day of surgery
Participants undergo primary open rhinoplasty with lateral crural steal and columellar strut graft to refine nasal tip projection and rotation.
1 surgical procedure visit (in-person)
Post-operative Follow-up
Duration - Up to 1 year postoperatively
Participants attend follow-up visits to assess nasal tip projection, rotation, and satisfaction after surgery.
Visits immediately postoperatively, at 3 months, 6 months, and 1 year
Trial Site Locations
Total: 1 location
1
Kafrelsheikh University Hospital
Kafr ash Shaykh, Egypt, 33511
Actively Recruiting
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Research Team
A
Ahmed Elsaeed Habib
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Published Research Related To This Trial
Outcomes research in facial plastic surgery: a review and new directions.
R Alsarraf
https://pubmed.ncbi.nlm.nih.gov/10890946Rhinobase: a comprehensive database, facial analysis, and picture-archiving software for rhinoplasty.
Fazil Apaydin, Serdar Akyildiz, David A Hecht...
https://pubmed.ncbi.nlm.nih.gov/19451458The Effect of Anchoring the Columellar Strut Graft to the Lateral Crural Steal Suture in Patients With a Low Nasal Tip: A New Technique.
Hasan Cetiner
https://pubmed.ncbi.nlm.nih.gov/30614999Lateral crural tensioning for refinement of the wide and underprojected nasal tip: rethinking the lateral crural steal.
Richard E Davis
https://pubmed.ncbi.nlm.nih.gov/25430927Advances in nasal tip surgery. The lateral crural steal.
R W Kridel, R J Konior, K A Shumrick...
https://pubmed.ncbi.nlm.nih.gov/2789776Cephalic positioning of the lateral crura: implications for nasal tip-plasty.
Ali Sepehr, Ashlin J Alexander, Nitin Chauhan...
https://pubmed.ncbi.nlm.nih.gov/21079114New concepts in nasal tip contouring.
Dean M Toriumi
https://pubmed.ncbi.nlm.nih.gov/16702528The tripod theory of nasal tip support revisited: the cantilevered spring model.
Richard W Westreich, William Lawson
https://pubmed.ncbi.nlm.nih.gov/18490543Precise anatomical study of rhinoplasty: description of a novel method and application to the lateral crural steal.
Sami P Moubayed, Zahi Abou Chacra, Russell W Kridel...
https://pubmed.ncbi.nlm.nih.gov/24177341