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Preservation Rhinoplasty: The Endonasal Cottle Push-Down/Let-Down Approach.

Oren Friedman1, Fausto Lopez Ulloa2, Eugene B Kern3

  • 1Otorhinolaryngology, University of Pennsylvania School of Medicine, 800 Walnut Street, 18th Floor, Philadelphia, PA 19107, USA.

Facial Plastic Surgery Clinics of North America
|November 22, 2020
PubMed
Summary
This summary is machine-generated.

Preservation rhinoplasty utilizes established endonasal push-down and let-down techniques to conservatively manage the nasal dorsum. This approach minimizes extensive restructuring, achieving excellent patient outcomes.

Keywords:
Cottle rhinoplastyDorsal preservationEndonasal rhinoplastyPreservation rhinoplastyRhinoplasty

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Facial Plastic Surgery

Background:

  • Preservation rhinoplasty is an emerging term for established surgical techniques.
  • The endonasal approach offers a less invasive method for nasal dorsum modification.

Purpose of the Study:

  • To present the authors' experience and details of using the endonasal Cottle technique for preservation rhinoplasty.
  • To highlight the benefits of conservative management of the nasal dorsum.

Main Methods:

  • Application of endonasal push-down and let-down techniques, attributed to Dr. Maurice Cottle.
  • Selective patient selection for this conservative approach.

Main Results:

  • Excellent success rates reported in select patients undergoing the endonasal Cottle technique.
  • Reduced need for routine restructuring of the middle third and nasal dorsum.

Conclusions:

  • The endonasal Cottle technique is effective for preservation rhinoplasty.
  • Conservative management of the nasal dorsum can yield superior results with less intervention.