Laboratory Studies

See the list below:

Obtain routine complete blood cell counts, a serum chemistry profiles, and coagulation profiles.

Imaging Studies

See the list below:

No specific imaging studies are obtained unless indicated for assessment of related pathology (ie, CT scan for posttraumatic deformities).
Obtain a routine chest radiograph and electrocardiogram for patients older than 50 years.

Treatment & Management

Raggio BS, Asaria J. Open Rhinoplasty. StatPearls. 2023 Jan. [QxMD MEDLINE Link]. [Full Text].
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. 1978 Feb. 7(1):13-7. [QxMD MEDLINE Link].
Gunter JP. The merits of the open approach in rhinoplasty. Plast Reconstr Surg. 1997 Mar. 99(3):863-7. [QxMD MEDLINE Link].
Aiach G. Atlas of Rhinoplasty: Open and Endonasal Approaches, Second Edition. Plast Reconstr Surg. 2005 May. 115(6):1778-9.
Sheen JH. Closed versus open rhinoplasty--and the debate goes on. Plast Reconstr Surg. 1997 Mar. 99(3):859-62. [QxMD MEDLINE Link].
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. 2008 Aug. 37(4):502-6. [QxMD MEDLINE Link].
Anderson JR. The future of open rhinoplasty. Facial Plast Surg. 1988 Winter. 5(2):189-90. [QxMD MEDLINE Link].
Daniel RK. Secondary rhinoplasty following open rhinoplasty. Plast Reconstr Surg. 1995 Dec. 96(7):1539-46. [QxMD MEDLINE Link].
Gunter JP, Rohrich RJ. External approach for secondary rhinoplasty. Plast Reconstr Surg. 1987 Aug. 80(2):161-74. [QxMD MEDLINE Link].
Friedman GD, Gruber RP. A fresh look at the open rhinoplasty technique. Plast Reconstr Surg. 1988 Dec. 82(6):973-82. [QxMD MEDLINE Link].
Gruber RP. Open rhinoplasty. Clin Plast Surg. 1988 Jan. 15(1):95-114. [QxMD MEDLINE Link].
Bitik O, Uzun H, Kamburoglu HO, et al. Revisiting the role of columellar strut graft in primary open approach rhinoplasty. Plast Reconstr Surg. 2015 Apr. 135(4):987-97. [QxMD MEDLINE Link].
Bertossi D, Walter C, Nocini PF. The pull-up spreader high (PUSH) technique for nasal tip support. Aesthet Surg J. 2014 Nov. 34(8):1153-61. [QxMD MEDLINE Link].
Kullar R, Frisenda J, Nassif PS. The More the Merrier? Should Antibiotics be Used for Rhinoplasty and Septorhinoplasty?-A Review. Plast Reconstr Surg Glob Open. 2018 Oct. 6 (10):e1972. [QxMD MEDLINE Link]. [Full Text].
Irvine LE, Azizzadeh B, Kerulos JL, Nassif PS. Outcomes of a Treatment Protocol for Compromised Nasal Skin in Primary and Revision Open Rhinoplasty. Facial Plast Surg Aesthet Med. 2020 Oct 15. [QxMD MEDLINE Link].
Crosara PF, Nunes FB, Rodrigues DS, et al. Rhinoplasty Complications and Reoperations: Systematic Review. Int Arch Otorhinolaryngol. 2017 Jan. 21 (1):97-101. [QxMD MEDLINE Link]. [Full Text].
Gupta R, John J, Ranganathan N, et al. Outcomes of Closed versus Open Rhinoplasty: A Systematic Review. Arch Plast Surg. 2022 Sep. 49 (5):569-79. [QxMD MEDLINE Link]. [Full Text].
[Guideline] Ishii LE, Tollefson TT, Basura GJ, et al. Clinical Practice Guideline: Improving Nasal Form and Function after Rhinoplasty. Otolaryngol Head Neck Surg. 2017 Feb. 156 (2_suppl):S1-S30. [QxMD MEDLINE Link]. [Full Text].

Media Gallery

Local infiltration of anesthesia.
Endonasal 4% cocaine packings.
Iodine preparation of the operative field.
Location of incision.
Incision.
Exposure.
Septoplasty.
Septoplasty.
Alar cartilage resection.
Alar cartilage resection.
Nasal tip modification.
Nasal tip.
Osteotomies.
Nasal dorsum.
Nasal dorsum.
Graft harvest.
Graft harvest.
Graft harvest.
Cartilage crushing.
Crushed cartilage.
Graft placement.
Closure.
Closure.
Packing and splinting.

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Author

Jugpal S Arneja, MD, MBA, FRCSC Professor (Clinical), Division of Plastic Surgery, University of British Columbia Faculty of Medicine, Canada

Jugpal S Arneja, MD, MBA, FRCSC 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, Royal College of Physicians and Surgeons of Canada

Disclosure: Nothing to disclose.

Coauthor(s)

G Balbir Singh, MD, FRCS Head, Section of Plastic Surgery, St Boniface Hospital; Associate Professor, Department of Surgery, University of Manitoba Faculty of Medicine, Canada

G Balbir Singh, MD, FRCS is a member of the following medical societies: American College of Surgeons, Canadian Medical Association, International College of Surgeons

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Mark S Granick, MD, FACS Professor of Surgery, Division of Plastic Surgery, Rutgers New Jersey Medical School; Professor of Surgery, Rutgers Robert Wood Johnson Medical School; Medical Director, University Hospital Wound Care Center

Mark S Granick, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American College of Surgeons, American Society of Plastic Surgeons, New Jersey Society of Plastic Surgeons, Northeastern Society of Plastic Surgeons, Phi Beta Kappa, Wound Healing Society

Disclosure: Serve(d) as a director, officer, partner, employee, advisor, consultant or trustee for: PolarityTE; Misonix<br/>Serve(d) as a speaker or a member of a speakers bureau for: Misonix, PolarityTE<br/>Received income in an amount equal to or greater than $250 from: Misonix, PolarityTE.

Additional Contributors

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 Society for Aesthetic Plastic Surgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Canadian Society of Plastic Surgeons

Disclosure: receive royalities as author of textbook aesthetic nasal reconstruction for: aesthetic nasal reconstruction.com.

Basic Open Rhinoplasty Workup

Laboratory Studies

Imaging Studies

References

Tables

Contributor Information and Disclosures

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