TY - JOUR
T1 - A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty
AU - Röjdmark, Jonas
AU - Mouchammed, Agko
N1 - Publisher Copyright:
© 2019 Association of Plastic Surgeons of India.
PY - 2019/9/30
Y1 - 2019/9/30
N2 - Introduction Open versus closed approach in rhinoplasty is a frequently debated topic in aesthetic plastic surgery. Although good results can often be achieved with either technique, both have unique advantages and disadvantages. In this investigation, we present our experiences of a modified closed-open approach that has been applied on 482 complex primary and secondary rhinoplasties. Three representative cases are described in more detail. Materials and Methods The procedure begins as a closed approach through an intracartilaginous incision allowing cephalic trimming of the lateral crura, dorsal rasping, and/or excision. Patients requiring extensive nasal tip maneuvers are subjected to exposure of the alar cartilage framework through a transcolumellar/limited marginal incision. This provides not only adequate exposure of the alar cartilages but also easy access to the septum. Conclusion In our hands, this approach is easy and expeditious. It requires less tip dissection, and therefore may avoid the prolonged postoperative edema that is often a consequence of open or extended closed tip delivery approaches.
AB - Introduction Open versus closed approach in rhinoplasty is a frequently debated topic in aesthetic plastic surgery. Although good results can often be achieved with either technique, both have unique advantages and disadvantages. In this investigation, we present our experiences of a modified closed-open approach that has been applied on 482 complex primary and secondary rhinoplasties. Three representative cases are described in more detail. Materials and Methods The procedure begins as a closed approach through an intracartilaginous incision allowing cephalic trimming of the lateral crura, dorsal rasping, and/or excision. Patients requiring extensive nasal tip maneuvers are subjected to exposure of the alar cartilage framework through a transcolumellar/limited marginal incision. This provides not only adequate exposure of the alar cartilages but also easy access to the septum. Conclusion In our hands, this approach is easy and expeditious. It requires less tip dissection, and therefore may avoid the prolonged postoperative edema that is often a consequence of open or extended closed tip delivery approaches.
KW - modified closed-open approach
KW - open and closed approaches
KW - rhinoplasty
UR - http://www.scopus.com/inward/record.url?scp=85077638434&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85077638434&partnerID=8YFLogxK
U2 - 10.1055/s-0039-3401472
DO - 10.1055/s-0039-3401472
M3 - Article
AN - SCOPUS:85077638434
SN - 0970-0358
VL - 52
SP - 270
EP - 276
JO - Indian Journal of Plastic Surgery
JF - Indian Journal of Plastic Surgery
IS - 3
ER -