Functional and aesthetic outcomes of adding tongue-in-groove technique in the management of caudal septal deviation during septorhinoplasty.

Mohamed A.E. Sabaa, professor otolaryngology, Cairo university, Cairo, Egypt Faculty of Medicine, Cairo University, Manial, Cairo, Egypt, 11451
Hatem S. Badran, professor otolaryngology, Cairo university, Cairo, Egypt Faculty of Medicine, Cairo University, Manial, Cairo, Egypt, 11451
Mostafa A. Hussien, Assistant lecturer otolaryngology, Cairo university, Cairo, Egypt
Amr M. Elemam, lecturer otolaryngology, Cairo university, Cairo, Egypt Faculty of Medicine, Cairo University, Manial, Cairo, Egypt, 11451Follow

Article Type

Original Study

Subject Area

Rhinoplasty

Abstract

Background: Management of caudal septal deviation can play a big role in restoring the functional outcome and maintaining the aesthetic shape of the nasal tip. “The tongue-in-groove” technique, which involves relocating and fixing caudal septum to medial crura, is proved to be one of the most reliable techniques in correcting the tip position, columellar show and supporting the alar columellar relationship. This study evaluates the aesthetic and functional outcomes of adding tongue-in-groove technique in the treatment of caudal septal deviations during septorhinoplasty. Patients and Methods: Our study was randomized controlled trial conducted on forty patients, divided randomly into two groups: Group (A) included 20 patients who underwent fixation of caudal septum to anterior nasal spine while group (B) included 20 patients subjected to tongue in groove technique added to the fixation. Patients were assessed aesthetically based upon preoperative and postoperative VAS scale and standardized photographic analysis. Functional assessment was done by Arabic NOSE score subjectively and objectively with active anterior Rhinomanometry. Results Both groups showed significant improvement in NOSE scores postoperatively with superiority in group (B) for improving the nasal function subjectively with a statistically significant difference (P=0.03). Both groups showed improvement of nasal function as measured objectively by rhinomanometry with significant improvement in group (B) with a p value of (P=0.02) and (P=0.002) for inspiration and expiration respectively. Conclusion: Adding TIG to the management of caudal septal deviation has yielded a better aesthetic and functional outcomes as evidenced by the significant improvement of the NOSE, VAS, and Rhinomanometry results.

Keywords

Tongue in groove - Caudal septum - Septorhinoplasty - Septoplasty - Primary Rhinoplasty.

Recommended Citation

Sabaa M, Badran H, Hussien M, et al. Functional and aesthetic outcomes of adding tongue-in-groove technique in the management of caudal septal deviation during septorhinoplasty.. Pan Arab J. Rhinol. 2025; 15 : -.
Available at: https://pajr.researchcommons.org/journal/vol15/iss2/6 DOI: https://doi.org/10.58595/2090-7559.1255