Effect of Tongue-in-Groove Technique on Upper Lip Slope in Rhinoplasty

Sazgar, Amir Keyvan; Tavakoli, Kiarash; Sazgar, Amir Arvin; Saedi, Babak

doi:10.1007/s00266-022-02858-y

Cited by 2 publications

(2 citation statements)

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“…The variation in results between these studies may be attributed to differences in the follow-up period (2 years) and the evaluated parameters. 14 Cetinkale and Tulunay examined 28 rhinoplasty patients with smile deformity and found that cutting the depressor septi and augmenting with a strip of cartilage could lead to a more pleasant smile. However, it is important to note that their surgical methods varied, with some patients undergoing the use of a columella strut, as well as a mix of closed and open approaches.…”

Section: Discussionmentioning

confidence: 99%

“…However, in this series of 367 rhinoplasty patients, the faciolabial angle was 93.1° ± 8.4° in the TIG without SEG group and 86.8° ± 15.4° in patients with SEG, indicating a significant difference (p<0.05). The variation in results between these studies may be attributed to differences in the follow-up period (two years) and the evaluated parameters [14].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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Impact of Tongue-in-Groove Technique on Smile and Lip Position: A Comparative Analysis with and without Septal Extension Graft

Farhbaksh,

Sazgar,

Saedi

2024

Facial Plast Surg

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Objective: This study was conducted to compare the outcomes of the Tongue-in-Groove (TIG) technique with and without Septal Extension Graft (SEG) on smile and lip position in rhinoplasty. Methods: Fifty-eight rhinoplasty patients, treated at a tertiary referral center between 2020 and 2022, underwent pre- and twelve-month post-operative evaluations, using the Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) and the Visual Analogue Scale (VAS). Preoperative and twelve-month postoperative photographs were analyzed using Adobe Photoshop to assess changes in lip and smile positions. Results: The study included 38 patients in the TIG with SEG group and 20 patients in the TIG without SEG group. The participants, with an average age of 32.12 ± 7.97 years, comprised 81% females. In terms of surgical outcomes, postoperative evaluations revealed significant improvements in the VAS aesthetic score, SCHNOS-O score, and SCHNOS-C score compared to preoperative scores (p < 0.001) for both groups. Notably, both groups demonstrated significant improvements in the upper lip length, nasolabial angle (NLA), columellar inclination angle (CI), and smile nasolabial angle. Patients in the SEG group exhibited markedly superior SCHNOS-O results, as well as distinctions in smile NLA and smile CI, compared to the group without SEG. Conclusion: The impact of rhinoplasty techniques on lip and smile remains complex requiring further evaluation. Both of the TIG techniques, with and without SEG, resulted in positive outcomes in terms of improving lip and smile positions, with the use of SEG demonstrating greater stability during a smile.

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Section: Discussionmentioning

confidence: 99%

Section: Accepted Manuscriptmentioning

confidence: 99%