Aesthetic and Functional Outcomes of Tongue-In-Groove Technique Versus Cartilage Resection Technique in The Management of Caudal Septal Dislocation in Adults.

Shalaby, Mahmoud Hassan; Bahed, Maged Mahmoud; Khashaba, Ahmed Hassan; Eweda, Mogahed Ebrahim

doi:10.21608/arcmed.2025.336738.1061

Aesthetic and Functional Outcomes of Tongue-In-Groove Technique Versus Cartilage Resection Technique in The Management of Caudal Septal Dislocation in Adults.

Articles in Press

Document Type : Original Research

Authors

¹ Otorhinolaryngology dep. kobri elkoba hospital

² Otorhinolaryngology department, Armed Forced College of Medicine

10.21608/arcmed.2025.336738.1061

Abstract

Background: : Rhinoplasty is regarded as one of the most complex facial plastic operations, requiring the surgeon to achieve nasal coordination & symmetry with other facial features while enhancing nasal function & support. Attaining these outcomes over time is one of the most difficult responsibilities of doctors.

Aim and objectives: to compare the aesthetic and functional outcomes of the tongue-in-groove technique and the cartilage resection technique in the management of caudal septal dislocation in adults using standardized scales.

Subjects and methods: The current comparative follow up cohort study conducted at the otorhinolaryngology outpatient clinic of Armed Forces Medical Complex at Kobri El-Qobba and conducted on 36 cases separated into 2 equal groups; one group involved cases who undergo the tongue in groove procedure & the other included patients who undergo cartilage resection technique.

Result: : A statistically insignificant has been observed among examined groups according to PNIF 6 months’ postoperative. A highly statistically significant variance has been observed among examined groups according to residual caudal dislocation following surgery.

Conclusion: there was statistically significant regarding PNIF 6 months’ post-operative, residual postoperative caudal dislocation or sub-laxation, post caudal end deviation sub-laxation, post firm sensation of the tip and regarding patient satisfaction with aesthetic result.

Both tongue and groove techniques and cartilage excision strategies produce significant aesthetic & functional outcomes. The tongue-in-groove procedure produces superior outcomes, as it minimizes the risk of residual following surgery subluxation or caudal dislocation, making it preferable to the cartilage resection method.

Keywords