Septal Redirection Concept: Posterior Anchor-Anterior Rotation (PAAR) Technique for the Correction of Twisted Noses

The Posterior Anchor-Anterior Rotation (PAAR) method is presented in this paper as a biomechanically and anatomically sound approach to correcting twisted nose abnormalities. By combining controlled posterior anchoring with focused anterior rotation, the PAAR method overcomes intrinsic cartilage memory and multi-vector deviation pressures, addressing the limitations of conventional septal repositioning techniques within the scope of the Septal Redirection Concept.

This study involved 48 patients undergoing primary rhinoplasty who received repair of a twisted nose deformity via the PAAR procedure.

This method achieves long-lasting alignment by preserving structural integrity through the use of a sufficient L-strut and targeted graft-mediated torque. A high correction rate was achieved.

This biomechanically sound method of long-term septal realignment is based on the Septal Redirection Concept and employs a dual-mechanism strategy: posterior anchoring to create a stable structural base and anterior rotation to overcome intrinsic deforming pressures. The PAAR procedure is a significant addition to the current literature on structural and preservation-oriented rhinoplasty because it is both effective and innovative in addressing complex septal abnormalities.