Abstract

OBJECTIVE: This study aims to investigate the effect of two-level septocolumellar suture technique on closed septorhinoplasty.

METHODS: Between January 2016 and June 2017, a total of 45 patients (28 females, 17 males; mean age 29.2±10.3 years; range, 18 to 55 years) who underwent closed septorhinoplasty with no strut graft use using two-level septocolumellar suture technique were included. The absorbable 4.0 Vicryl suture was used as the suture material. The visual analog scale (VAS) was used to grade nasal obstruction preoperatively and at six months after surgery.

RESULTS: Postoperative redeviation not leading to passage blockage and any aesthetic defect was observed in one patient. No major or minor functional and aesthetic deformity was observed in any of the patients. The mean pre- and postoperative VAS scores were 7.3±1.7 and 1.6±1.9, respectively (p<0.0001).

CONCLUSION: Our study results suggest that two-level septocolumellar suture technique is very effective in keeping the septum in the midline easily in cases with closed septorhinoplasty, and it provides nasal tip support and does not disrupt symmetry of the alar base.