Lateral crural steal plus columellar strut graft to improve nasal tip projection and rotation in primary open rhinoplasty
The Effect of Lateral Crural Steal With Columellar Strut Graft on Nasal Tip Projection and Rotation in Primary Open Rhinoplasty
This trial tests whether combining a lateral crural steal technique with a columellar strut graft helps people having primary open rhinoplasty achieve and maintain better nasal tip projection and rotation.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 22 (estimated) |
| Ages | 18 Years to 60 Years |
| Sex | All |
| Sponsor | Kafrelsheikh University Academic / other |
| Locations | 1 site (Kafr ash Shaykh) |
| Trial ID | NCT07317947 on ClinicalTrials.gov |
What this trial studies
This interventional surgical protocol uses a tissue-conserving lateral crural steal (LCS) maneuver combined with placement of a columellar strut graft between the medial crura to modify and support nasal tip projection and rotation. Participants are adults undergoing primary open rhinoplasty for aesthetic and/or functional indications who meet inclusion and exclusion criteria and can attend follow-up visits. Outcomes focus on immediate and long-term nasal tip projection, rotation, and contour stability using standardized measurements and patient-reported outcome tools. Patients with prior nasal surgery, major facial skeletal abnormalities, severe trauma, or significant comorbidities are excluded to reduce confounding factors.
Who should consider this trial
Good fit: Ideal candidates are people seeking primary open rhinoplasty with inadequate nasal tip projection or rotation who have intact lower lateral cartilage and can consent to and attend surgical follow-up.
Not a fit: Patients with previous nasal surgery, severe cartilage alteration from trauma, major functional obstruction requiring complex reconstruction, excessive alar base widening, or body dysmorphic disorder are unlikely to benefit from this technique.
Why it matters
Potential benefit: If successful, this approach could provide more predictable and longer-lasting nasal tip support and shape, potentially reducing postoperative deformities and the need for revision surgery.
How similar studies have performed: Similar tissue-preserving lateral crural techniques and routine use of columellar strut grafts are established in rhinoplasty practice with reported improvements in tip support, though long-term comparative evidence is limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients seeking primary rhinoplasty for aesthetic and/or functional indications. * Presence of inadequate nasal tip projection and/or rotation suitable for correction using lateral crural steal with columellar strut graft. * Ability to provide written informed consent and comply with follow-up visits. Exclusion Criteria: * History of prior nasal surgery. * History of severe nasal trauma, altering cartilage architecture. * Significant functional nasal obstruction requiring complex external nasal valve reconstruction. * Patients with excessively wide alar base requiring alar base reduction involving vestibular sill excision (to prevent confounding on projection/rotation). * Patients with facial skeletal or developmental abnormalities e.g. maxillary hypoplasia, maxillary prognathism, dentofacial deformities. * Patients with psychiatric illness or Body Dysmorphic Disorder. * Significant medical comorbidities contraindicating elective surgery or general anesthesia. * Inability to provide informed consent or comply with follow-up.
Where this trial is running
Kafr ash Shaykh
- Kafrelsheikh University Hospital — Kafr ash Shaykh, Egypt (Recruiting)
Study contacts
- Study coordinator: Ahmed Elsaeed Habib
- Email: aelsaeid11@gmail.com
- Phone: +201094661161
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.