Aesthetic and Functional Outcomes of Tongue-In-Groove Technique Versus Cartilage Resection Technique in The Management of Caudal Septal Dislocation in Adults.

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.