Comparative Outcomes of Septal Extension versus Columellar Strut Grafts for Nasal Tip Stabilization and Positioning in Rhinoplasty: A Systematic Review and Meta-analysis.

IF 1.4 4区医学 Q3 SURGERY

Facial Plastic Surgery Pub Date : 2025-09-08 DOI:10.1055/a-2689-1496

Ismail Ozgenc, Dana Alzoubi, Dilip K Vankayalapati, Laith Ali Bayan, Sum-Yu Christina Lee, Kelson Huynh, Annah Waqasi, Hayato Nakanishi, Annakan V Navaratnam

{"title":"Comparative Outcomes of Septal Extension versus Columellar Strut Grafts for Nasal Tip Stabilization and Positioning in Rhinoplasty: A Systematic Review and Meta-analysis.","authors":"Ismail Ozgenc, Dana Alzoubi, Dilip K Vankayalapati, Laith Ali Bayan, Sum-Yu Christina Lee, Kelson Huynh, Annah Waqasi, Hayato Nakanishi, Annakan V Navaratnam","doi":"10.1055/a-2689-1496","DOIUrl":null,"url":null,"abstract":"Columellar strut graft (CSG) and septal extension graft (SEG) are commonly used in septorhinoplasty for nasal tip support.We aimed to systematically review and compare CSG and SEG in achieving a desired nasolabial angle (NLA) and Goode's ratio (GR).Several databases were systematically searched from inception to August 2024. A two-arm meta-analysis of the pooled means was conducted with a random-effects model. This review was registered in PROSPERO (CRD42024574909).Eligible studies included primary septorhinoplasty patients (≥17 years) receiving CSG or SEG.Eight studies met eligibility criteria including 256 CSG and 371 SEG patients. Intergroup comparison of long-term postoperative NLA favored SEG (p < 0.05) while GR showed no differences. However, SEG patients had significant improvement in GR postoperatively (p < 0.05), unlike CSG patients.SEG may provide superior long-term nasal tip rotation and projection stability.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Facial Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2689-1496","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Columellar strut graft (CSG) and septal extension graft (SEG) are commonly used in septorhinoplasty for nasal tip support.We aimed to systematically review and compare CSG and SEG in achieving a desired nasolabial angle (NLA) and Goode's ratio (GR).Several databases were systematically searched from inception to August 2024. A two-arm meta-analysis of the pooled means was conducted with a random-effects model. This review was registered in PROSPERO (CRD42024574909).Eligible studies included primary septorhinoplasty patients (≥17 years) receiving CSG or SEG.Eight studies met eligibility criteria including 256 CSG and 371 SEG patients. Intergroup comparison of long-term postoperative NLA favored SEG (p < 0.05) while GR showed no differences. However, SEG patients had significant improvement in GR postoperatively (p < 0.05), unlike CSG patients.SEG may provide superior long-term nasal tip rotation and projection stability.

查看原文本刊更多论文

鼻中隔延伸与小柱支撑在鼻整形中用于鼻尖稳定和定位的比较结果：系统回顾和荟萃分析。

小柱支撑移植物（CSG）和鼻中隔延伸移植物（SEG）是鼻中隔成形术中常用的鼻尖支撑。b.目的与假设我们旨在系统地回顾和比较CSG和SEG在获得理想的鼻唇角（NLA）和古德比（GR）方面的效果。c.研究设计从成立到2024年8月，系统地检索了几个数据库。采用随机效应模型对合并均值进行双臂荟萃分析。该综述已在PROSPERO注册（CRD42024574909）。d.方法符合条件的研究包括接受CSG或SEG的初级鼻中隔成形术患者（≥17岁）。8项研究符合入选标准，包括256例CSG和371例SEG患者。术后长期NLA组间比较有利于SEG (p < 0.05)，而GR组间比较无差异。与CSG患者相比，SEG患者术后GR有明显改善（p < 0.05）。结论SEG可提供较好的长期鼻尖旋转和突出稳定性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Facial Plastic Surgery 医学-外科

CiteScore

1.80

自引率

10.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Facial Plastic Surgery is a journal that publishes topic-specific issues covering areas of aesthetic and reconstructive plastic surgery as it relates to the head, neck, and face. The journal''s scope includes issues devoted to scar revision, periorbital and mid-face rejuvenation, facial trauma, facial implants, rhinoplasty, neck reconstruction, cleft palate, face lifts, as well as various other emerging minimally invasive procedures. Authors provide a global perspective on each topic, critically evaluate recent works in the field, and apply it to clinical practice.