Facial plast Surg 2016; 32(04): 416-423
DOI: 10.1055/s-0036-1585576
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Tongue-in-Groove Technique in Primary and Revision Rhinoplasty

Frank R. Datema
Department of Otolaryngology/Head and Neck Surgery, Erasmus Medical Center, Rotterdam, The Netherlands
Peter J.F.M. Lohuis
Department of Otolaryngology/Head and Neck Surgery, Center for Facial Plastic and Reconstructive Surgery, Diakonessen Hospital, Utrecht/Zeist, The Netherlands
› Author Affiliations
Further Information

Publication History

Publication Date:
05 August 2016 (online)


The tongue-in-groove (TIG) is a conservative but powerful surgical suture technique to control tip rotation and projection, to set an appropriate alar–columellar relationship, to straighten a caudal septal deviation, and to stabilize the nasal base. TIG is suitable in primary and most revision cases and is easily combined with other surgical techniques. Seventeen years after its popularization, the TIG technique is embedded in modern-day rhinoplasty literature and teaching material. This article describes indications and considerations during external primary and revision rhinoplasty, based on clinical experience and the available literature.