Unilateral Septal Extension Graft and Bilateral Septal Extension Graft in Droopy Tip and Its Effect on Tip Deviation

Comparison Between Unilateral Septal Extension Graft and Bilateral Septal Extension Graft in Droopy Tip and Its Effect on Tip Deviation

This study aims to compare between the unilateral and bilateral septal extension graft and evaluate the effect of each of them on tip deviation.

Study Overview

• Status: Not yet recruiting
• Conditions: Septal Extension Graft in Rhinoplasty; Primary Rhinoplasty; Nasal Projection
• Intervention / Treatment: Procedure: Unilateral septal extension graft; Procedure: Bilateral septal extension graft

Detailed Description

The Nasal tip from an aesthetic perspective is one of the most visible nd defining features of the nose, Even with a well- shaped dorsum; a droopy, asymmetric or poorly supported tip can distort the overall appearance of the nose; as it play a key role in projection and rotation -the primary parameters that contribute to nasal attractiveness . Functionally the nasal tip is structurally essential for maintaining airway patency, A weak or collapsed tip can result in external nasal valve collapse leading to breathing issues .

The nasal tip is supported by several mechanisms including: the length and integrity of the lower lateral cartilages, the medial crural attachment to the septal cartilage, the connection to the upper lateral and lower lateral cartilages, the nasal membranous and cartilaginous septum, the anterior nasal spine, and the lateral crural attachment to the nasal aperture , Tip plasty is crucial as it ensures that the nose not only appears proportionate and aesthetically pleasing, but also functions properly, and maintains long-term structural support. Neglecting the nasal tip can result in an unnatural or imbalanced outcome even when the rest of the nose is well-shaped .

In primary rhinoplasty, the nasal tip is often the centeral cus for achieving a refined yet natural look. Tip plasty often includes several mechanisms such as (e.g., Colum umellar strut graft, septal extensions graft these are used to support or reposition the tip without compromising function. The Septal Extension Graft is considered one of the most reliable technique offering a wide range of applications. However, it may be associated with some drawbacks such as the tip's stiffness and potential aesthetical or functional issues. This study aims to compare between the unilateral and bilateral septal extension graft and evaluate the effect of each of them on tip deviation.

• Study Type: Interventional
• Enrollment (Estimated): 34
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Yousef Elfert, Resident; Phone Number: +20 10 69690777; Email: Yousef192356_pg@med.tanta.edu.eg
• Study Contact Backup: Name: Yousef Elfert, Resident; Phone Number: +20 10 69690777

Study Locations

• Egypt
  • Tanta, Egypt
    • Tanta University
    • Contact: Yousef Elfert, Resident; Phone Number: +20 10 69690777; Email: Yousef192356_pg@med.tanta.edu.eg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• Patients above 18years
• Aesthetic complain related to nasal tip
• presented for primary rhinoplast.

Exclusion Criteria:

• Patients under 18year old
• Patients need extensive nasal reconstructions lacking septal cartilage
• Patients with severely deficient cartilaginous septum.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: unilateral septal extension graft; seventeen patients will undergo unilateral septal extension graft	Procedure: Unilateral septal extension graft; Seventeen patients will undergo unilateral septal extension graft
Experimental: Bilateral septal extension graft; Seventeen will undergo bilateral septal extension graft	Procedure: Bilateral septal extension graft; Seventeen will undergo bilateral septal extension graft

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Arabic Rhinoplasty Outcome Evaluation Questionnaire	Patient satisfaction with primary septorhinoplasty will be assessed using the Arabic Rhinoplasty Outcome Evaluation Questionnaire. Validated Arabic Rhinoplasty Outcomes Evaluation questionnaire is a 6-item, self-report tool (0-24 scale) assessing physical, emotional, and social satisfaction after nasal surgery, with higher scores (0-100%) indicating better outcomes.	3 months

Secondary Outcome Measures

Outcome Measure	Time Frame
Deviation angle	3 months after the operation

Collaborators and Investigators

• Sponsor: Tanta University

Study record dates

Study Major Dates

• Study Start (Estimated): February 28, 2026
• Primary Completion (Estimated): October 30, 2026
• Study Completion (Estimated): October 30, 2026

Study Registration Dates

• First Submitted: February 25, 2026
• First Submitted That Met QC Criteria: February 25, 2026
• First Posted (Actual): March 3, 2026

Study Record Updates

• Last Update Posted (Actual): March 5, 2026
• Last Update Submitted That Met QC Criteria: March 3, 2026
• Last Verified: October 1, 2025

More Information

Terms related to this study

• Keywords: nasal projection; Septal Extension Graft; Tip Deviation
• Other Study ID Numbers: 36264MS1042/8/25

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: YES
• IPD Plan Description: It will be available if it needed
• IPD Sharing Supporting Information Type: STUDY_PROTOCOL; SAP; ICF

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No