Comparison of Septal Advancement Flap and Columellar Strut Effect on Nasal Tip

NCT ID: NCT06370455

Last Updated: 2025-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-01-23

Study Completion Date

2025-10-25

Brief Summary

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The aim of the study to compare and evaluate the effect of septal advancement flap in preserving and reshaping the nasal tip with columellar strut graft

Detailed Description

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The ideal tip support graft should support the exact position over time, avoid stiffness of a natural soft structure of the tip, be easily harvested typically septal cartilage, facilitate surgeon control of rotation and projection.

To address these desirable features the septal advancement flap (SAF) was developed. The septal advancement flap (SAF) is a rotational advancement flap of the superior and caudal aspects of the cartilaginous septum that enables the surgeon to create stable and accurate tip shape and position. This is a technically easy and reliable flap mainly applicable to primary rhinoplasty.

so investigator compare between this new technique and old one like columellar strut to know the effect on nasal tip

Conditions

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Rhinoplasty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SCREENING

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Septal advancement flap group

Fifteen patients will undergo septal advancement flap technique The mucoperichondrial flaps are elevated over the cartilaginous septum and the caudal perpendicular plate of the ethmoid. investigator will take L shape flap of the dorsal and anterior end of cartilaginous septum then advance them and suture the flap at certain points so can support the nasal tip.

Group Type ACTIVE_COMPARATOR

comparison of septal advancement flap effect on nasal tip in primary rhinoplasty to columellar strut technique

Intervention Type PROCEDURE

All patients will be operated on under general anesthesia through an open rhinoplasty then will undergo 2 different procedures according to each group.

Columellar strut group

fifteen patients will undergo columellar strut technique. investigator will extract columellar strut from septal cartilage then insert it between the two medial crura n the intercrural space and sutured to nasal spine so can support nasal tip.

Group Type ACTIVE_COMPARATOR

comparison of septal advancement flap effect on nasal tip in primary rhinoplasty to columellar strut technique

Intervention Type PROCEDURE

All patients will be operated on under general anesthesia through an open rhinoplasty then will undergo 2 different procedures according to each group.

Interventions

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comparison of septal advancement flap effect on nasal tip in primary rhinoplasty to columellar strut technique

All patients will be operated on under general anesthesia through an open rhinoplasty then will undergo 2 different procedures according to each group.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Droopy nasal tip

Exclusion Criteria

* severely deficient cartilaginous septum.
* previous nasal operations, history of cleft lip or cleft palate.
* bleeding disorders.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Tanta University

OTHER

Sponsor Role lead

Responsible Party

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Mohamed Elsaied Allam

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Otorhinolaryngology department -Tanta University Hospitals

Tanta, , Egypt

Site Status

Countries

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Egypt

References

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Goncalves Ferreira M. Septal Advancement Flap: Preserving, Restructuring, and Reshaping the Nasal Tip Contour with a Novel Flap. Facial Plast Surg Aesthet Med. 2023 Jul-Aug;25(4):279-284. doi: 10.1089/fpsam.2023.0060. Epub 2023 Apr 10.

Reference Type BACKGROUND
PMID: 37036815 (View on PubMed)

Other Identifiers

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36264MS429/11/23

Identifier Type: -

Identifier Source: org_study_id