{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:29:22Z","timestamp":1786386562246,"version":"build-2736575974"},"reference-count":15,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T00:00:00Z","timestamp":1786060800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ear Nose Throat J"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Nasal tip surgery frequently requires the combined use of multiple grafting techniques, making communication, visualization, and operative planning complex, particularly in teaching settings. Existing descriptions of tip graft combinations are often technique-oriented and lack a unified symbolic framework for conceptual mapping.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study introduces the \u201cDa Vinci Concept,\u201d a symbolic visual framework inspired by the Vitruvian Man for representing spatial relationships among nasal tip grafts. The primary aim was to evaluate whether the framework could facilitate conceptual understanding and communication of graft configurations among surgeons. Secondary exploratory analyses assessed its feasibility in operative planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study consisted of two components. First, a survey-based educational evaluation was conducted among rhinoplasty surgeons to assess interpretability and conceptual clarity of the symbolic framework. Second, a pilot clinical cohort of 30 selected primary rhinoplasty patients was retrospectively reviewed. In the Da Vinci planning group, the symbolic framework was used preoperatively to organize graft relationships and operative planning. Outcomes including operative duration and standard nasal tip measurements were explored descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Surgeons participating in the educational evaluation demonstrated high interpretability of the symbolic graft representations and reported facilitated conceptual visualization of graft combinations. In the pilot clinical cohort, the framework was feasible for preoperative planning and intraoperative communication. Exploratory comparisons suggested potential workflow advantages; however, the study was not designed to establish clinical superiority between techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Da Vinci Concept proposes a symbolic and educational framework for visualizing nasal tip graft architecture and facilitating communication in rhinoplasty planning. Rather than representing an idealized anatomical model, the system functions as a conceptual mapping tool. Further prospective and multi-center studies are needed to validate its educational utility and potential clinical applications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/01455613261476732","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T23:30:16Z","timestamp":1786145416000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Da Vinci Concept: A Symbolic Framework for Nasal Tip Graft Planning"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-7552-1739","authenticated-orcid":false,"given":"Seyithan","family":"K\u0131rtay","sequence":"first","affiliation":[{"name":"Department of otorhinolaryngology, Seyithan K\u0131rtay Private Clinic"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_3_7_2_2","volume-title":"Rhinoplasty: An Atlas of Surgical Techniques","author":"Daniel RK","year":"2020","unstructured":"Daniel RK. Rhinoplasty: An Atlas of Surgical Techniques. Cham: Springer; 2020."},{"issue":"2","key":"e_1_3_7_3_2","first-page":"295e","article-title":"Nasal tip refinement in rhinoplasty: the value of structural support","volume":"128","author":"Rohrich RJ","year":"2011","unstructured":"Rohrich RJ, Ahmad J. Nasal tip refinement in rhinoplasty: the value of structural support. Plast Reconstr Surg. 2011;128(2):295e-304e.","journal-title":"Plast Reconstr Surg"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199007000-00006"},{"issue":"2","key":"e_1_3_7_5_2","first-page":"145","article-title":"Cap grafts for tip refinement","volume":"19","author":"Raghavan U","year":"2003","unstructured":"Raghavan U. Cap grafts for tip refinement. Facial Plast Surg. 2003;19(2):145-150.","journal-title":"Facial Plast Surg"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511811678"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1006\/ijhc.2002.1017"},{"key":"e_1_3_7_8_2","volume-title":"Information Visualization: Perception for Design","author":"Ware C","year":"2012","unstructured":"Ware C. Information Visualization: Perception for Design. 3rd ed. Burlington: Morgan Kaufmann; 2012.","edition":"3"},{"issue":"2","key":"e_1_3_7_9_2","first-page":"253","article-title":"Cognitive benefits of visual analogy in surgical education","volume":"48","author":"Reh DD","year":"2015","unstructured":"Reh DD. Cognitive benefits of visual analogy in surgical education. Otolaryngol Clin North Am. 2015;48(2):253-262.","journal-title":"Otolaryngol Clin North Am"},{"key":"e_1_3_7_10_2","volume-title":"Leonardo da Vinci: The Marvellous Works of Nature and Man","author":"Kemp M","year":"2006","unstructured":"Kemp M. Leonardo da Vinci: The Marvellous Works of Nature and Man. Oxford: Oxford University Press; 2006."},{"key":"e_1_3_7_11_2","volume-title":"The Story of Art","author":"Gombrich EH","year":"1995","unstructured":"Gombrich EH. The Story of Art. London: Phaidon Press; 1995."},{"issue":"1","key":"e_1_3_7_12_2","first-page":"113","article-title":"Structure concept in nasal tip surgery","volume":"13","author":"Toriumi DM","year":"2005","unstructured":"Toriumi DM. Structure concept in nasal tip surgery. Facial Plast Surg Clin North Am. 2005;13(1):113-128.","journal-title":"Facial Plast Surg Clin North Am"},{"issue":"4","key":"e_1_3_7_13_2","first-page":"686","article-title":"The membranous tongue-in-groove technique for controlled nasal tip rotation","volume":"38","author":"\u00c7ak\u0131r B","year":"2014","unstructured":"\u00c7ak\u0131r B, Orero\u011flu AR, Do\u011fan T, Akan M. The membranous tongue-in-groove technique for controlled nasal tip rotation. Aesthetic Plast Surg. 2014;38(4):686-694.","journal-title":"Aesthetic Plast Surg"},{"issue":"5","key":"e_1_3_7_14_2","first-page":"504","article-title":"The tongue-in-groove technique in septorhinoplasty","volume":"115","author":"Kridel RW","year":"1989","unstructured":"Kridel RW, Konior RJ, Shumrick KA, Wright WK. The tongue-in-groove technique in septorhinoplasty. Arch Otolaryngol Head Neck Surg. 1989;115(5):504-513.","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199304000-00011"},{"issue":"4","key":"e_1_3_7_16_2","first-page":"287","article-title":"Measuring outcomes in rhinoplasty: A critical look at tools and methods","volume":"29","author":"Most SP","year":"2013","unstructured":"Most SP, Rhee JS. Measuring outcomes in rhinoplasty: A critical look at tools and methods. Facial Plast Surg. 2013;29(4):287-294.","journal-title":"Facial Plast Surg"}],"container-title":["Ear, Nose &amp; Throat Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613261476732","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/01455613261476732","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/01455613261476732","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T17:52:36Z","timestamp":1786384356000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/01455613261476732"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,7]]},"references-count":15,"alternative-id":["10.1177\/01455613261476732"],"URL":"https:\/\/doi.org\/10.1177\/01455613261476732","relation":{},"ISSN":["0145-5613","1942-7522"],"issn-type":[{"value":"0145-5613","type":"print"},{"value":"1942-7522","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,7]]},"article-number":"01455613261476732"}}