Vertical alar lengthening technique in correcting short noses

dc.authorid0000-0002-0088-9853
dc.contributor.authorSoylu, Erkan
dc.contributor.authorYenigün, Alper
dc.contributor.authorÖzturan, Orhan
dc.date.accessioned2023-07-21T06:34:21Z
dc.date.available2023-07-21T06:34:21Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Kulak Burun Boğaz Hastalıkları Ana Bilim Dalı
dc.description.abstractBackground: It is crucial that the nose length must be compatible with the face in order to obtain beautiful results that suits the face. Shorter and upturned noses appear as if the tip of the nose is cut from the front and gives a piggy appearance to the patient's face. Objective: The aim of this study is to obtain longer noses with increased tip definition by effectively lengthening the medial and lateral crura's in patients with short nose and Asian noses. Materials and methods: Vertical Alar Lengthening (VAL) technique was applied to 17 revision and 12 primary Asian noses. VAL technique consists of three steps. In the first step, the medial crus were lengthened by stealing from the lateral crus. Later, a lateral crural extension graft was applied to the shortened lateral crus, and the lateral crus was lengthened and sutured to the medial crus. In the final stage, a subdomal graft was placed and supported in the space formed underneath the alar tip between the mucosa and the new dome. They were followed in average 12 months (between 6 and 18 months). Results: VAL technique was applied to 17 revision and 12 primer Asian noses. Suggested surgical technique move the tip forward and downward reduced its cephalic rotation and lengthened the nose. Targeted tip point, rotation and projection results were achieved in all patients. All patients had satisfactory esthetic results. Conclusions: In revision cases and short nose deformities in Asian noses, the nasal tip point was extended forward and downward with the VAL technique, reducing its rotation and lengthening the nose.
dc.identifier.citationSoylu, E., Yenigün, A. ve Özturan, O. (2023). Vertical alar lengthening technique in correcting short noses. American Journal of Otolaryngology - Head and Neck Medicine and Surgery, 44(6). https://dx.doi.org/10.1016/j.amjoto.2023.103979
dc.identifier.doi10.1016/j.amjoto.2023.103979
dc.identifier.issn0196-0709
dc.identifier.issn1532-818X
dc.identifier.issue6
dc.identifier.pmid37437336
dc.identifier.scopus2-s2.0-85164281503
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://dx.doi.org/10.1016/j.amjoto.2023.103979
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11231
dc.identifier.volume44
dc.identifier.wos001054526300001en_US
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSoylu, Erkan
dc.language.isoen
dc.publisherW.B. Saunders
dc.relation.ispartofAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/embargoedAccess
dc.subjectRhinoplasty
dc.subjectVertical Alar Lengthening Technique
dc.subjectShort Nose
dc.subjectProjection
dc.subjectDefinition
dc.subjectRevision
dc.titleVertical alar lengthening technique in correcting short noses
dc.typeArticle

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