The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty
Background: The technique of vertical dome division or tip defining, involves incising the lateral crura and vestibular skin at or lateral to the dome or tip defining point. The incision divides the lower lateral cartilage into a lateral segment and a medial segment, which are advanced anteriorly an...
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| Format: | Article |
| Language: | English |
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Shiraz University of Medical Sciences
2011-09-01
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| Series: | Iranian Journal of Medical Sciences |
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| Online Access: | http://ijms.sums.ac.ir/files/PDFfiles/07-Dr.%20Gandomi.pdf |
| _version_ | 1819047123090407424 |
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| author | Mohammad Rafatbakhs Mohammad Hossein Arzaghi Behrooz Gandomi |
| author_facet | Mohammad Rafatbakhs Mohammad Hossein Arzaghi Behrooz Gandomi |
| author_sort | Mohammad Rafatbakhs |
| collection | DOAJ |
| description | Background: The technique of vertical dome division or tip defining, involves incising the lateral crura and vestibular skin at or lateral to the dome or tip defining point. The incision divides the lower lateral cartilage into a lateral segment and a medial segment, which are advanced anteriorly and sutured together to increase tip projection. The present study aimed at assessing a new vertical dome division, which is a modified version of vertical dome technique to decrease nasal tip projection, and increase or decrease nasal tip rotation and other tip deformities. Methods: The medical files of patients undergone rhinoplasty from 2003 to 2008 were retrospectively analyzed. The files were selected from a computerized rhinoplasty database of patients, who had been operated using a modified vertical dome technique and followed-up for one year or more after the surgery. Results: A total of 3756 patients were operated. Complications related to the nasal tip such as bossae, bifidity, persistent tip projection or tip asymmetry was seen in 81 patients (2.1%). Revisions for tip-related problems were performed in 42 patients (1.1%). Conclusions: The findings suggest that the modified vertical dome technique is an effective method for nasal tip deprojection and narrowing via an open approach. The length of follow-up and the large sample size support effectiveness of the technique |
| first_indexed | 2024-12-21T10:55:21Z |
| format | Article |
| id | doaj.art-5da4c15d25f449b48c83bcc540c57848 |
| institution | Directory Open Access Journal |
| issn | 0253-0716 1735-3688 |
| language | English |
| last_indexed | 2024-12-21T10:55:21Z |
| publishDate | 2011-09-01 |
| publisher | Shiraz University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Medical Sciences |
| spelling | doaj.art-5da4c15d25f449b48c83bcc540c578482022-12-21T19:06:31ZengShiraz University of Medical SciencesIranian Journal of Medical Sciences0253-07161735-36882011-09-01363196200The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in RhinoplastyMohammad RafatbakhsMohammad Hossein ArzaghiBehrooz GandomiBackground: The technique of vertical dome division or tip defining, involves incising the lateral crura and vestibular skin at or lateral to the dome or tip defining point. The incision divides the lower lateral cartilage into a lateral segment and a medial segment, which are advanced anteriorly and sutured together to increase tip projection. The present study aimed at assessing a new vertical dome division, which is a modified version of vertical dome technique to decrease nasal tip projection, and increase or decrease nasal tip rotation and other tip deformities. Methods: The medical files of patients undergone rhinoplasty from 2003 to 2008 were retrospectively analyzed. The files were selected from a computerized rhinoplasty database of patients, who had been operated using a modified vertical dome technique and followed-up for one year or more after the surgery. Results: A total of 3756 patients were operated. Complications related to the nasal tip such as bossae, bifidity, persistent tip projection or tip asymmetry was seen in 81 patients (2.1%). Revisions for tip-related problems were performed in 42 patients (1.1%). Conclusions: The findings suggest that the modified vertical dome technique is an effective method for nasal tip deprojection and narrowing via an open approach. The length of follow-up and the large sample size support effectiveness of the techniquehttp://ijms.sums.ac.ir/files/PDFfiles/07-Dr.%20Gandomi.pdfVertical dome divisionrhinoplastynasal cartilagemodified technique |
| spellingShingle | Mohammad Rafatbakhs Mohammad Hossein Arzaghi Behrooz Gandomi The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty Iranian Journal of Medical Sciences Vertical dome division rhinoplasty nasal cartilage modified technique |
| title | The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty |
| title_full | The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty |
| title_fullStr | The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty |
| title_full_unstemmed | The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty |
| title_short | The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty |
| title_sort | effectiveness of modified vertical dome division technique in reducing nasal tip projection in rhinoplasty |
| topic | Vertical dome division rhinoplasty nasal cartilage modified technique |
| url | http://ijms.sums.ac.ir/files/PDFfiles/07-Dr.%20Gandomi.pdf |
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