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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...

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Autores principales: Röjdmark, Jonas, Mouchammed, Agko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Private Ltd. 2019
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.
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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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