The Effect of Septocolumellar Suture on Tip Plasty in Primary Open Septorhinoplasty

Section: Research Paper
Issue
Vol. 47 No. 2 (2025): Volume 47 Issue 2
Published
Dec 29, 2025
Pages
150-156

Abstract

Background: Septocolumellar suture is a key technique in open septorhinoplasty (SRP), serving as a functional replacement for the Pitanguy ligament and superficial muscle aponeurosis system SMAS to maintain nasal tip projection, rotation, and stability. The study intends to test the change caused by septocolumellar sutures on the rotation and projection of the nasal tip by objective examination of the facial measurements.


Methods: This is a prospective study done on 50 patients (34 females, 16 males) aged between 18 and 44 years who have been operated upon primary open SRP with tip modification. Goode's ratio was used to measure the pre and postoperative projection of the nasal tip but nasolabial angle was used to measure the rotation. A baseline, 3 and 6 months postoperative standardized photographs were taken. Paired t-tests were used to analyse the statistics.


Results: Postoperative analysis revealed a statistically significant improvement in both nasal tip projection and rotation (P < 0.001). The mean Goode’s ratio slightly decreased from 0.63 to 0.61, yet remained within the aesthetically acceptable range. The mean nasolabial angle increased by an average of 9.8°, indicating enhanced tip rotation. These changes were observed in both male and female subgroups.


Conclusion: The septocolumellar suture is an effective method for controlling and stabilizing nasal tip dynamics in SRP. It significantly improves nasal tip rotation and allows for controlled adjustments in projection, leading to better aesthetic and functional outcomes.

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Authors

Ali Ahmad Hasan AL-saeg

Department of Otolaryngology, AL-Salam Teaching Hospital

Ahmed Saad Allah Ahmed

Department of Surgery, Otolaryngology, AL-Jamhory Teaching Hospital

Haitham Abdulmalik Alnori

Department of Surgery, Otorhinolaryngology, College of Medicine, University of Mosul – Mosul - Iraq

Abdülkadir Göksel

ENT Facial Plastic Surgery, Rino Istanbul, Istanbul, Turkey

Identifiers

https://doi.org/10.33899/acmm.v47i2.60168
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1.
AL-saeg AAH, Ahmed ASA, Alnori HA, Göksel A. The Effect of Septocolumellar Suture on Tip Plasty in Primary Open Septorhinoplasty. Ann. coll. Med. Mosul [Internet]. 2025 Dec. 29 [cited 2026 Jan. 2];47(2):150-6. Available from: https://mmed.uomosul.edu.iq/index.php/mmed/article/view/60168