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A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty
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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Medical and Scientific Publishers Private Ltd.
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6938421/ https://www.ncbi.nlm.nih.gov/pubmed/31908364 http://dx.doi.org/10.1055/s-0039-3401472 |
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author | Röjdmark, Jonas Mouchammed, Agko |
author_facet | Röjdmark, Jonas Mouchammed, Agko |
author_sort | Röjdmark, Jonas |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6938421 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Thieme Medical and Scientific Publishers Private Ltd. |
record_format | MEDLINE/PubMed |
spelling | pubmed-69384212020-01-06 A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty Röjdmark, Jonas Mouchammed, Agko Indian J Plast Surg 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. Thieme Medical and Scientific Publishers Private Ltd. 2019-09 2019-12-30 /pmc/articles/PMC6938421/ /pubmed/31908364 http://dx.doi.org/10.1055/s-0039-3401472 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Röjdmark, Jonas Mouchammed, Agko A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty |
title | A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty |
title_full | A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty |
title_fullStr | A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty |
title_full_unstemmed | A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty |
title_short | A Modified Closed-Open Approach as Part of a Graduated and Integrative Approach to Rhinoplasty |
title_sort | modified closed-open approach as part of a graduated and integrative approach to rhinoplasty |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6938421/ https://www.ncbi.nlm.nih.gov/pubmed/31908364 http://dx.doi.org/10.1055/s-0039-3401472 |
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