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The Tongue-in-Groove Technique in Septorhinoplasty
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The TIG technique was used in 287 patients (R.W.H.K., 203; H.M.T.F., 84). The female-male ratio was 2:1. Of the 287 patients, 159 (55.4%) had excessive columellar show, 83 (28.9%) had a droopy tip, 108 (37.6%) showed caudal septal deviation, and 27 (9.4%) had a wide columella. Forty-two (14.6%) had previously undergone rhinoplasty by other surgeons. In most cases, correction of columellar show was achieved with the TIG technique alone. Of the 159 patients with excessive columellar show, 64 (40.3%) required trimming of the caudal septum in addition to the TIG technique to correct the deformity. Data are available for the subset of the 203 patients for whom additional rhinoplasty techniques were performed in conjunction with the TIG technique. Of these 203 patients, the lateral crural overlay technique was used in 14 (6.9%), the lateral crural steal technique in 8 (3.9%), alar wedge excision in 7 (3.4%), and septal perforation repair in 7 (3.4%) (Table 1 and Table 2).
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*Data are number of patients from the practlce of one of the authors(R.W:H.K) + number of patients from the practice of another of the authors (H.M.T.F) (total). |
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Satisfactory to excellent results were reported in 278 (97%) of the patients. Only 9 (3%) of the cases required revision related to the TIG technique. Eight of these 9 required revision to further correct columellar show or to increase tip rotation or projection, and 1 required revision for overprojection. The TIG technique was repeated in these patients with satisfactory results in all cases. Revision surgery was not required for any of the 108 patients with caudal septal deviation.
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