Journal archive · Rib, ear and septal grafts · Nasal tip · Anatomy and nasal analysis · 2026
Comparative Analysis of Nasal Tip Stability: Columellar Strut Graft Alone vs. Combination with Flexible Tongue-in-Groove
Yeniceri A, Cayonu M.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on tip sutures.
From the abstract
“This study aimed to evaluate the effects of the flexible tongue-in-groove (TIG) technique on nasal tip stability in patients undergoing columellar strut graft (CSG) placement. Nasal tip rotation and projection changes were compared between patients who underwent CSG with the flexible TIG technique and those who…”
Excerpt; the full abstract is on PubMed.
Citation
Start here
What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Rib, ear and septal grafts
Modern rhinoplasty builds rather than removes, so the operation runs on cartilage: the septum first, then the ear, then the rib, and when none of those will do, a piece of donated rib from a tissue bank.
Nasal tip
Tip surgery is now a support problem rather than a sculpting problem: the septal extension graft holds projection and rotation where the columellar strut loses them (0.2% against 4.7% projection loss at one year), and the current series repair, reposition and reinforce the lower lateral cartilages instead of excising them.
Anatomy and nasal analysis
Before any technique is chosen, the nose has to be read: the bone measured, the cartilage counted, the skin assessed, and the result the patient wants agreed on a photograph that is not yet true.
Related papers
Same topic, 2026.
- ASJ Adverse Outcomes and Complications of Autologous Versus Homologous Costal Cartilage Grafts in Septorhinoplasty: A Systematic Review and Meta-analysisJullamusi W, Kowitwibool K, Mungmee A et al.2026PMID 42374829Abstract
- ASJ Asian Rhinoplasty Using Exclusively Auricular Cartilage Through a Closed ApproachGu Q, Fu Z, Li J et al.2026PMID 41411306Summary
- ASJ Dorsal Width and Functional Outcomes with use of Autospreader Flaps in Cosmetic RhinoplastyJabbour N, Pelligrini W, Shehan J et al.2026PMID 42415377Summary
- ASJ Efficacy of Combined Septal Extension and Derotation Grafts in Asian Rhinoplasty: A Quantitative Analysis of Tip Projection and StabilityHuang CJ, Tsai TY, Yen CI et al.2026PMID 41990353Summary
- ASJ Establishing Normative Data on Satisfaction with Nasal Appearance: a Dutch Population-Based Study Using Aesthetic Rhinoplasty Outcome InstrumentsKasapov M, Afonso PM, Datema FR et al.2026PMID 42670247Summary
- ASJ Piezoelectric Versus Conventional Rhinoplasty: A GRADE-Assessed Systematic Review and Meta-analysis of Randomized Controlled TrialsArmanfar S, Ardakani MR, Vahidiataabadi M2026PMID 42013314Summary
- ASJ Postoperative Differences in Dorsal Aesthetic Lines in Patients Undergoing Dorsal Preservation Rhinoplasty and Conventional Hump ResectionXu L, Huang H, Kandathil CK et al.2026PMID 41369038Summary
- ASJ Preoperative Serotonin Antidepressants Are Associated With Increased Postoperative Complications Following Rhinoplasty: A Propensity Score-Matched AnalysisZontag N, Skorochod R, Wolf Y2026PMID 41672725Summary