Medipol University, Faculty of Medicine, Department of Otorhinolaryngology, Bagcilar, Istanbul, Turkey.
Bezmialem Vakif University, Faculty of Medicine, Department of Otorhinolaryngology, Fatih, Istanbul, Turkey.
Am J Otolaryngol. 2024 Sep-Oct;45(5):104434. doi: 10.1016/j.amjoto.2024.104434. Epub 2024 Jul 23.
In rhinoplasty, it is very important to adjust the rotation and projection of the tip together harmoniously with the nasal dorsum and face to achieve pleasing results.
In this study, our aim is to describe a new modification of the vertical alar resection technique that can effectively regulate nasal tip projection and rotation.
Versatile vertical alar resection (V-VAR) technique was applied to 14 primary and 9 revision rhinoplasty cases with highly projected nasal tip. V-VAR technique consists of three steps. In the first step, the original dome point was marked. In patients with high tip projection and caudal rotation, resection was performed from the lateral crus of the original dome. In patients with high tip projection and cephalic rotation, resection was performed from the medial crus of the original dome. In patients with high nasal tip projection but adequate rotation, an equal amount of resections were performed from both the medial crus and lateral crus of the original dome. The patients were followed in average 18 months (between 12 and 24 months).
The desired type of rotation and projection was achieved utilizing V-VAR technique in all patients. All patients had satisfactory esthetic results.
In highly projected nasal tips, the height can be reduced using the proposed V-VAR technique. Rotation in the nasal tip region was maintained, increased or decreased in accordance with the esthetic aims.
在鼻整形术中，将鼻尖的旋转和突出与鼻背和面部一起协调地调整至关重要，以达到令人满意的效果。
本研究旨在描述一种新的垂直鼻翼切除术技术的改良方法，该方法可以有效地调节鼻尖的突出和旋转。
对 14 例原发性和 9 例修复性鼻尖突出的患者应用了多功能垂直鼻翼切除术（V-VAR）技术。V-VAR 技术包括三个步骤。第一步，标记原始穹窿点。对于鼻尖高度突出且后旋的患者，从原始穹窿的外侧脚进行切除。对于鼻尖高度突出且前旋的患者，从原始穹窿的内侧脚进行切除。对于鼻尖高度突出但旋转度足够的患者，从原始穹窿的内侧脚和外侧脚等量切除。患者平均随访 18 个月（12-24 个月）。
所有患者均采用 V-VAR 技术达到了所需的旋转和突出类型。所有患者均获得了满意的美学效果。
在高度突出的鼻尖中，可使用提出的 V-VAR 技术降低高度。鼻尖区域的旋转可根据美学目标进行维持、增加或减少。
