TY - JOUR ID - 39641 TI - The Effectiveness of Modified Vertical Dome Division Technique in Reducing Nasal Tip Projection in Rhinoplasty JO - Iranian Journal of Medical Sciences JA - IJMS LA - en SN - 0253-0716 AU - Gandomi, Behrooz AU - Arzaghi, Mohammad Hossein AU - Rafatbakhsh, Mohammad AD - Departments of Otolaryngology, Shiraz University of Medical Sciences, Shiraz, Iran AD - English Languange, Shiraz University of Medical Sciences, Shiraz, Iran Y1 - 2011 PY - 2011 VL - 36 IS - 3 SP - 196 EP - 200 KW - Vertical dome division KW - Rhinoplasty KW - nasal cartilage KW - modified technique DO - N2 - 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 di-vides 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. UR - https://ijms.sums.ac.ir/article_39641.html L1 - https://ijms.sums.ac.ir/article_39641_91bfb7ea8db4c6b11645cd7fef2a2fa7.pdf ER -