eMedicine Specialties > Plastic Surgery > Nose
Rhinoplasty, Basic Open Technique: Follow-up
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
Rethi A. Operation to shorten an excessively long nose. Rev Chir Plast. 1934;2:85.
Goodman WS, Charles DA. Technique of external rhinoplasty. J Otolaryngol. Feb 1978;7(1):13-7. [Medline].
Gunter JP. The merits of the open approach in rhinoplasty. Plast Reconstr Surg. Mar 1997;99(3):863-7. [Medline].
Aiach G. Atlas of Rhinoplasty: Open and Endonasal Approaches, Second Edition. Plast Reconstr Surg. May 2005;115(6):1778-9.
Sheen JH. Closed versus open rhinoplasty--and the debate goes on. Plast Reconstr Surg. Mar 1997;99(3):859-62. [Medline].
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].
Anderson JR. The future of open rhinoplasty. Facial Plast Surg. Winter 1988;5(2):189-90. [Medline].
Daniel RK. Secondary rhinoplasty following open rhinoplasty. Plast Reconstr Surg. Dec 1995;96(7):1539-46. [Medline].
Gunter JP, Rohrich RJ. External approach for secondary rhinoplasty. Plast Reconstr Surg. Aug 1987;80(2):161-74. [Medline].
Friedman GD, Gruber RP. A fresh look at the open rhinoplasty technique. Plast Reconstr Surg. Dec 1988;82(6):973-82. [Medline].
Gruber RP. Open rhinoplasty. Clin Plast Surg. Jan 1988;15(1):95-114. [Medline].
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
Follow-up: Rhinoplasty, Basic Open Technique