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.
ARCADEs of MEDICINE
Articles in Press, Accepted Manuscript, Available Online from 05 April 2025
Document Type: Original Research
DOI: 10.21608/arcmed.2025.336738.1061
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Authors
Mahmoud hassan Shalaby ¹; maged Mahmoud Bahed²; Ahmed Hassan Khashaba²; mogahed ebrahim eweda²
¹Otorhinolaryngology dep. kobri elkoba hospital
²Otorhinolaryngology department, Armed Forced College of Medicine
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
obstruction; TIG; Septal; deviation; septum


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