Simultaneous Rhinoseptoplasty and Orthognathic Surgery: Outcome Analysis of 250 Consecutive Patients Using a Modified...

Area of Science:

• Plastic Surgery
• Oral and Maxillofacial Surgery
• Otolaryngology

Background:

• Combined surgical procedures for facial aesthetics and function are increasingly explored.
• Assessing the safety and efficacy of combined rhinoplasty and bimaxillary surgery is crucial for patient outcomes.

Purpose of the Study:

• To evaluate the safety and efficacy of combining functional intranasal procedures with cosmetic rhinoplasty and bimaxillary surgery.
• To determine the patient acceptance and overall aesthetic results of this combined surgical approach.

Main Methods:

• Retrospective cohort study of 250 patients undergoing combined rhinoseptoplasty and bimaxillary surgery.
• Procedures performed by a single surgeon over a 9-year period with a minimum 12-month follow-up.
• Inclusion of functional nasal surgery, cosmetic rhinoplasty, and bimaxillary orthognathic surgery.

Main Results:

• Overall complication rate of 5% and revision rate of 9%, comparable to primary rhinoplasty.
• High patient acceptance, with 94% willing to undergo rhinoplasty only as part of the combined procedure.
• Significant enhancement of aesthetic results due to the synergistic effect of combined procedures.

Conclusions:

• Combined rhinoplasty and bimaxillary surgery offers reciprocal magnification of aesthetic results and enhanced final outcomes.
• The procedure demonstrates a low complication and revision rate, indicating safety and efficacy.
• A single intervention for both nasal and jaw alterations provides significant benefits in terms of patient morbidity and cost-effectiveness.