ANSA Banner Graft in Rhinoplasty: Long-Term Results in Projection and Rotation of the nasal tip

ANSA Banner Graft in Rhinoplasty: Long-Term Results in Projection and Rotation of the nasal tip | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article ANSA Banner Graft in Rhinoplasty: Long-Term Results in Projection and Rotation of the nasal tip Micaela Redivo, Candelaria Serrano, Lautaro Ignacio Acosta, Federico Adolfo Urquiola This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7889998/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 19 Jan, 2026 Read the published version in European Journal of Plastic Surgery → Version 1 posted 7 You are reading this latest preprint version Abstract Background Nasal tip management is challenging. The ANSA (Anterior Nasal Septal Angle) graft, a partial septal extension graft, provides support and maintains the desired projection and rotation. The objective of this study was to evaluate the long-term reliability of the ANSA banner graft in open septorhinoplasty and to determine patient satisfaction. Methods We performed a retrospective cohort study of patients operated on in the Rhinoplasty Department of a fourth-level care hospital between January 2020 and December 2023. Full profile photographs were analyzed at three time points: preoperative, immediate postoperative (1–7 months), and distant postoperative (10–17 months). The Rhinoplasty Outcome Evaluation (ROE) satisfaction survey was administered. Results Surveys from 46 patients were analyzed, yielding a 55.75 percent satisfaction with the surgery. The photographic group included 17 women (mean age 27.5 ± 8.1 years). The Goode index, Rohrich index, and nasolabial angle were measured. Statistical analysis showed significant differences in rotation between preoperative and immediate postoperative periods (p < 0.001), and between preoperative and distant periods (p < 0.001), with no differences between remote and distant periods (p = 0.487), indicating stability over time. Nasal projection did not show significant variations. Conclusion The ANSA graft allows a long-term maintenance of nasal tip rotation, with projection stability. In our series, the clinical results and satisfaction surveys support its usefulness as a safe and effective technique in open septorhinoplasty. ANSA Banner Graft nasal tip rhinoplasty rotation and projection Full Text Additional Declarations No competing interests reported. Supplementary Files Annex1.docx Dataavailability.xlsx Cite Share Download PDF Status: Published Journal Publication published 19 Jan, 2026 Read the published version in European Journal of Plastic Surgery → Version 1 posted Editorial decision: Revision requested 02 Nov, 2025 Reviews received at journal 02 Nov, 2025 Reviewers agreed at journal 25 Oct, 2025 Reviewers invited by journal 23 Oct, 2025 Editor assigned by journal 22 Oct, 2025 Submission checks completed at journal 22 Oct, 2025 First submitted to journal 17 Oct, 2025 You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7889998","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":538751968,"identity":"1874f49d-38bb-43c9-b961-dd1d70d37849","order_by":0,"name":"Micaela Redivo","email":"","orcid":"","institution":"ENT Department of the Italian Hospital of Buenos Aires","correspondingAuthor":false,"prefix":"","firstName":"Micaela","middleName":"","lastName":"Redivo","suffix":""},{"id":538751969,"identity":"c8c60a97-fee5-439c-9923-f9d3feb07e55","order_by":1,"name":"Candelaria Serrano","email":"","orcid":"","institution":"ENT Department of the Italian 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tip","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"european-journal-of-plastic-surgery","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"ejps","sideBox":"Learn more about [European Journal of Plastic Surgery](https://link.springer.com/journal/238)","snPcode":"238","submissionUrl":"https://submission.nature.com/new-submission/238/3","title":"European Journal of Plastic Surgery","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"Springer Hybrid","inReviewEnabled":true,"inReviewRevisionsEnabled":false},"keywords":"ANSA Banner Graft, nasal tip, rhinoplasty, rotation and projection","lastPublishedDoi":"10.21203/rs.3.rs-7889998/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7889998/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003e\u003cstrong\u003eBackground\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eNasal tip management is challenging. The ANSA (Anterior Nasal Septal Angle) graft, a partial septal extension graft, provides support and maintains the desired projection and rotation. The objective of this study was to evaluate the long-term reliability of the ANSA banner graft in open septorhinoplasty and to determine patient satisfaction.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMethods\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eWe performed a retrospective cohort study of patients operated on in the Rhinoplasty Department of a fourth-level care hospital between January 2020 and December 2023. Full profile photographs were analyzed at three time points: preoperative, immediate postoperative (1–7 months), and distant postoperative (10–17 months). The Rhinoplasty Outcome Evaluation (ROE) satisfaction survey was administered.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eResults\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eSurveys from 46 patients were analyzed, yielding a 55.75 percent satisfaction with the surgery. The photographic group included 17 women (mean age 27.5 ± 8.1 years). The Goode index, Rohrich index, and nasolabial angle were measured. Statistical analysis showed significant differences in rotation between preoperative and immediate postoperative periods (p \u0026lt; 0.001), and between preoperative and distant periods (p \u0026lt; 0.001), with no differences between remote and distant periods (p = 0.487), indicating stability over time. Nasal projection did not show significant variations.\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eConclusion\u003c/strong\u003e\u003c/p\u003e\n\u003cp\u003eThe ANSA graft allows a long-term maintenance of nasal tip rotation, with projection stability. In our series, the clinical results and satisfaction surveys support its usefulness as a safe and effective technique in open septorhinoplasty.\u003c/p\u003e","manuscriptTitle":"ANSA Banner Graft in Rhinoplasty: Long-Term Results in Projection and Rotation of the nasal tip","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-11-04 09:56:11","doi":"10.21203/rs.3.rs-7889998/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-11-02T17:11:57+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-11-02T15:42:25+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"89771128162584500568803539105254810826","date":"2025-10-25T12:39:43+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-10-23T13:38:28+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-10-23T03:46:52+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-10-23T03:46:13+00:00","index":"","fulltext":""},{"type":"submitted","content":"European Journal of Plastic Surgery","date":"2025-10-17T23:22:44+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"european-journal-of-plastic-surgery","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"ejps","sideBox":"Learn more about [European Journal of Plastic Surgery](https://link.springer.com/journal/238)","snPcode":"238","submissionUrl":"https://submission.nature.com/new-submission/238/3","title":"European Journal of Plastic Surgery","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"em","reportingPortfolio":"Springer Hybrid","inReviewEnabled":true,"inReviewRevisionsEnabled":false}}],"origin":"","ownerIdentity":"c15646c4-b54a-4b66-8cbf-8d76c9de7844","owner":[],"postedDate":"November 4th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[],"tags":[],"updatedAt":"2026-01-26T16:07:20+00:00","versionOfRecord":{"articleIdentity":"rs-7889998","link":"https://doi.org/10.1007/s00238-025-02380-9","journal":{"identity":"european-journal-of-plastic-surgery","isVorOnly":false,"title":"European Journal of Plastic Surgery"},"publishedOn":"2026-01-19 15:56:50","publishedOnDateReadable":"January 19th, 2026"},"versionCreatedAt":"2025-11-04 09:56:11","video":"","vorDoi":"10.1007/s00238-025-02380-9","vorDoiUrl":"https://doi.org/10.1007/s00238-025-02380-9","workflowStages":[]},"version":"v1","identity":"rs-7889998","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-7889998","identity":"rs-7889998","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}