Department of Facial Plastic Surgery, FUNDEF and Clinica Wilson Dewes, Lajeado, Rio Grande do Sul, Brazil.
Department of Facial Plastic Surgery, Clinica Pró-Vida, Tubarão, Santa Catarina, Brazil.
Facial Plast Surg. 2021 Feb;37(1):22-28. doi: 10.1055/s-0041-1725102. Epub 2021 Mar 11.
The term SPAR (septum pyramidal adjustment and repositioning), aims to conserve the nasal dorsum without detachment of the upper lateral nasal cartilage of the nasal septum, based on the Cotte's principles, unlike classical rhinoplasty. The aim of the study is to describe surgical technique of SPAR with the surgical steps used to reviewing the literature on the surgical treatment of the nasal dorsum. This is a less invasive form of rhinoplasty, but no less effective, not being necessary additional techniques to nasal reconstruction, and preservation of essential nasal structures. It is an evolution of push down and the other conservative surgery, making a more modern technique and may be suitable for most types of cavities. More studies are needed, especially comparative, showing the following late sequelae, complications, and their long-term results.
术语 SPAR（隔锥体调整和复位），旨在在不分离鼻中隔的上外侧鼻软骨的情况下保持鼻背，这是基于 Cotte 的原则，与经典的隆鼻术不同。本研究的目的是描述 SPAR 的手术技术，并回顾文献中关于鼻背手术治疗的手术步骤。这是一种侵入性较小的隆鼻术，但同样有效，不需要额外的技术进行鼻重建，并且可以保留基本的鼻结构。它是推下术和其他保守手术的一种演变，使技术更加现代，可能适用于大多数类型的鼻腔。需要更多的研究，特别是比较研究，以显示后续的迟发性后遗症、并发症及其长期结果。
