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Official Journal of the Italian Society of Maxillofacial Surgery
Frequency: 3 issues
Online ISSN 1827-1901
D’Andrea F., Grella R., Grella E., Brongo S.
Division of Plastic and Reconstructive Surgery Second University of Naples, Naples, Italy
Aim. During a rhinoplasty it is very difficult to obtain a wide view of the nasal osteocartilaginous structures. In some cases it is possible to use an open approach to improve the visualisation, but the external scar on the columella is not always accepted by those patients who require a rhinoplasty for esthetic problems.
Methods. The open rhinoplasty technique without incision of the columella associated to bilateral intercartilaginous incisions was adopted in 48 cases to obtain a wider view of the internal structures of the nose. A long follow-up of 52 months in average (range 40-64) was performed to evaluate the esthetic results.
Results. No major complications occurred and the only problem correlated with the technique was the presence of a transitory edema in the nasal tip, completely resolved in few months. Complete satisfaction was achieved in 45 cases and only small irregularities occurred in 3 cases.
Conclusion. The authors have found this technique superior to the traditional approach in all the cases with complex irregularities of the nasal pyramid and tip cartilages, while they have used a traditional open approach only in few cases with complex malformations. Any problems have been observed with scar retractions after a pararimal incision associated with intercartilaginous incisions even in secondary rhinoplasty.