eMedicine Specialties > Plastic Surgery > Nose

Rhinoplasty, Basic Open Technique: Follow-up

Author: Jugpal S Arneja, MD, Assistant Professor, Section of Plastic Surgery, Wayne State University School of Medicine; Consulting Staff, Section of Plastic Surgery, Children's Hospital of Michigan, Detroit Medical Center Affiliated Hospitals
Coauthor(s): G Balbir Singh, FRCSC, Head, Section of Plastic Surgery, St Boniface Hospital; Associate Professor, Department of Surgery, University of Manitoba
Contributor Information and Disclosures

Updated: May 26, 2009

Outcome and Prognosis

The authors are proponents of the open technique because the benefit of direct observation outweighs the commonly cited disadvantage of transcolumellar incision and scar. The exposure is especially beneficial for work with the nasal tip, dorsum, and septum and provides the best possible teaching tool for the trainee.

Future and Controversies

Future debates will indeed continue regarding the open versus closed technique; however, the open technique seems to have secured a place in rhinoplasty for years to follow.4,3,5,6,7

 


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References

References

  1. Rethi A. Operation to shorten an excessively long nose. Rev Chir Plast. 1934;2:85.

  2. Goodman WS, Charles DA. Technique of external rhinoplasty. J Otolaryngol. Feb 1978;7(1):13-7. [Medline].

  3. Gunter JP. The merits of the open approach in rhinoplasty. Plast Reconstr Surg. Mar 1997;99(3):863-7. [Medline].

  4. Aiach G. Atlas of Rhinoplasty: Open and Endonasal Approaches, Second Edition. Plast Reconstr Surg. May 2005;115(6):1778-9.

  5. Sheen JH. Closed versus open rhinoplasty--and the debate goes on. Plast Reconstr Surg. Mar 1997;99(3):859-62. [Medline].

  6. DeFatta RJ, Ducic Y, Adelson RT, Sabatini PR. Comparison of closed reduction alone versus primary open repair of acute nasoseptal fractures. J Otolaryngol Head Neck Surg. Aug 2008;37(4):502-6. [Medline].

  7. Anderson JR. The future of open rhinoplasty. Facial Plast Surg. Winter 1988;5(2):189-90. [Medline].

  8. Daniel RK. Secondary rhinoplasty following open rhinoplasty. Plast Reconstr Surg. Dec 1995;96(7):1539-46. [Medline].

  9. Gunter JP, Rohrich RJ. External approach for secondary rhinoplasty. Plast Reconstr Surg. Aug 1987;80(2):161-74. [Medline].

  10. Friedman GD, Gruber RP. A fresh look at the open rhinoplasty technique. Plast Reconstr Surg. Dec 1988;82(6):973-82. [Medline].

  11. Gruber RP. Open rhinoplasty. Clin Plast Surg. Jan 1988;15(1):95-114. [Medline].

  12. Teichgraeber JF, Russo RC, Riley WR. External rhinoplasty technique. Ann Plast Surg. Nov 1990;25(5):388-96. [Medline].

Further Reading

Keywords

rhinoplasty, open rhinoplasty, rhinoplasty open technique, osteotomy, nasal repair, nose surgery, nose job, cosmetic surgery, aesthetic nasal surgery, esthetic nasal surgery, open structure rhinoplasty, open rhinoplasty, transcolumellar approach, nasal valve dysfunction, nasal obstruction, airway abnormalities, septal deformity, septal perforation, nasal augmentation, bifid nasal tip, nasal hump, stair-step deformity, saddle-nose deformity, polly beak deformity, open roof deformity, nose reconstruction, nasal reconstruction, nasal tip sculpting, nasal base surgery

Contributor Information and Disclosures

Author

Jugpal S Arneja, MD, Assistant Professor, Section of Plastic Surgery, Wayne State University School of Medicine; Consulting Staff, Section of Plastic Surgery, Children's Hospital of Michigan, Detroit Medical Center Affiliated Hospitals
Jugpal S Arneja, MD is a member of the following medical societies: American Academy of Pediatrics, American Burn Association, American Cleft Palate/Craniofacial Association, American College of Surgeons, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Canadian Medical Association, Canadian Society of Plastic Surgeons, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Coauthor(s)

G Balbir Singh, FRCSC, Head, Section of Plastic Surgery, St Boniface Hospital; Associate Professor, Department of Surgery, University of Manitoba
G Balbir Singh, FRCSC is a member of the following medical societies: American College of Surgeons, Canadian Medical Association, and International College of Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Frederick J Menick, MD, Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Arizona College of Medicine; Facial and Nasal Reconstructive Surgeon, Tucson, Arizona
Frederick J Menick, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, American Society of Plastic and Reconstructive Surgery, American Society of Plastic Surgeons, and Canadian Society of Plastic Surgeons
Disclosure: none None None

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

R Edward Newsome, MD, Program Director and Chief of Plastic Surgery, Henderson Chair in Surgery, Assistant Dean for Graduate Medical Education, Tulane University School of Medicine
R Edward Newsome, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Society of Plastic and Reconstructive Surgery, American Society of Plastic Surgeons, and Louisiana State Medical Society
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

John R Taylor, MD, FRCSC, FACS, Independent Practice, Ontario
John R Taylor, MD, FRCSC, FACS is a member of the following medical societies: American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Canadian Medical Association, and Canadian Society of Plastic Surgeons
Disclosure: Nothing to disclose.

 
 
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