MEASUREMENTS OS PROJECTION AND ROTATION OF THE NASAL TIP IN PRIMARY RHINOSEPTOPLASTY: A LITERATURE REVIEW

Abstract

Introduction: Postoperative scarring can later modify the structure of the nose and there are few articles found in the literature that demonstrate anthropometric measurements in the evolution of the postoperative period of rhinoseptoplasty. Objective: To identify variations in projection and rotation results of the nasal tip after primary rhinoseptoplasty with the course of healing. Materials and methods: A literature review on projection and rotation of the nasal tip in primary rhinoseptoplasty, in addition to the illustration of three clinical cases of caucasian patients with medium skin who underwent open primary rhinoseptoplasty. Results: In the three illustrated cases, there was an increase in the rotation of the nasal tip in the seven-day postoperative, with an average of 13.68º in the female cases and 5.15º in the male case. There was an average reduction of 2.41º after six months of healing. There was no pattern of variation in the tip projection measurement. Discussion: The rotation of the nasal tip is measured from the nasolabial angle and the projection is equivalent to the distance that it projects from the face, which can be measured using the Goode method. Currently, one of the biggest discussions in rhinoplasty is the long-term maintenance of tip rotation and projection in closed access techniques with columellar strut and structured open access techniques using the septal extension graft. Conclusion: The rotation of the nasal tip varies considerably in the initial postoperative period, but it drops on average 2-3º six months later. The projection of the nasal tip did not present great differences. For more significant results, studies with a larger number of patients are necessary.