Abstract
Introduction
Managing nasal tip support and lateral crura malposition remains a challenge in rhinoplasty.
Objectives and Hypotheses
This study aimed to evaluate the effectiveness of a novel suture technique—the Pulley-Stitch—in
correcting lateral crura malposition. Primary outcome: Change in lateral crura angle;
secondary outcome: Long-term stability.
Study Design
Prospective cohort study (N = 42), reported in-line with STROBE guidelines.
Methods
Forty-two patients underwent open rhinoplasty. The angle between the caudal margin
of the medial crus and the anterior third of the lateral crus was measured from intraoperative
images at T0 (prestitch) and T1 (poststitch). Standardized postoperative images were
analyzed at 1 month (T2) and 12 months (T3).
Results
The angle increased from a mean of 18.2 to 26.9 degrees (p < 0.05), reflecting improved anatomical alignment and external nasal valve patency.
Stability was confirmed at 12-month follow-up.
Conclusion
The Pulley-Stitch is a safe, effective technique to improve nasal tip structure, cephalic
rotation, and ala contour.
Keywords
rhinoplasty - lateral crura - nasal tip support - external nasal valve
