Lateral crural steal plus columellar strut graft to improve nasal tip projection and rotation in primary open rhinoplasty

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

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.

Why it matters

Who can join: the full rules

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 it's running

• Kafrelsheikh University Hospital
  Kafr ash Shaykh, Egypt Recruiting

Study contacts

• Study coordinator: Ahmed Elsaeed Habib
• Email: aelsaeid11@gmail.com
• Phone: +201094661161

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.