Introduction: Managing nasal tip support and lateral crura malposition remains a challenge in rhinoplasty. Objectives 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 anterior third of the lateral crus was measured from intraoperative images at T0 (pre-stitch) and T1 (post-stitch). 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° (p < 0.05), reflecting improved anatomical alignment and external nasal valve patency. Stability was confirmed at 12-month follow-up. Conclusions: 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 Acknowledgements: Artificial intelligence was used to support the bibliographic search during manuscript preparation.
Marianetti et al. (Thu,) studied this question.