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Epistaxis01:30

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Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
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The nose is composed of an observable exterior segment (external nose) and an internal segment within the skull known as the nasal cavity (internal nose). The external nose, visible on the face, consists of a framework of bone and hyaline cartilage enveloped in skin and muscle and lined with a mucous membrane. This structure is supported by the frontal bone, nasal bones, and maxillary bone and is supplemented by a cartilaginous framework comprising the septal nasal cartilage, lateral nasal...
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The lateral view of the cranium is dominated by temporal, sphenoid, and ethmoid bones.
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Global Practice Patterns of Dorsal Preservation Rhinoplasty.

Priyesh N Patel1, Cherian K Kandathil2, Cibele Madsen Buba3

  • 1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.

Facial Plastic Surgery & Aesthetic Medicine
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Dorsal preservation rhinoplasty (DPR) shows varied global adoption, with Turkey and Mexico leading current use. Many surgeons abandon DPR due to unpredictable results and complications like hump recurrence.

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Area of Science:

  • Plastic Surgery
  • Facial Plastic Surgery
  • Rhinoplasty Techniques

Background:

  • Dorsal preservation rhinoplasty (DPR) is gaining attention for its theoretical advantages over traditional excisional methods.
  • Understanding global practice patterns is crucial for evaluating DPR's current role in rhinoplasty.

Purpose of the Study:

  • To assess worldwide practice patterns of dorsal preservation rhinoplasty.
  • To identify regional differences in DPR adoption and surgeon familiarity.

Main Methods:

  • An 11-item questionnaire was distributed globally to rhinoplasty surgeons via regional societies.
  • Data collected focused on surgeon exposure, current use, and reasons for abandoning DPR.

Main Results:

  • Turkey and Mexico currently exhibit the highest usage of DPR, contrasting with early Western publications.
  • Familiarity with DPR is often gained through conferences rather than formal training, though Mexico shows higher training exposure.
  • 125 surgeons abandoned DPR due to poor outcomes, unpredictability, and complications like hump recurrence.

Conclusions:

  • Global adoption of DPR is inconsistent across regions and subject to ongoing evolution.
  • Challenges in predictability and complication management may influence DPR's long-term integration into standard surgical practice.