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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

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A multivariate analysis after preservation rhinoplasty (PR) - a prospective study.

Georges Stergiou¹, Clara Guardiola Fortuny², Adrian Schweigler²

¹Praxisklinik Urania, Zurich, Switzerland.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|July 12, 2021

Summary

Preservation rhinoplasty (PR) widens the internal nasal valve angle, improving nasal function. This approach also leads to high patient satisfaction with both functional and aesthetic outcomes.

Keywords:

Rhinoplasty cone beam computed tomography patient outcome assessment respiratory function test tissue preservation

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Area of Science:

Plastic Surgery
Otolaryngology
Facial Plastic Surgery

Background:

Preservation rhinoplasty (PR) is an innovative technique associated with high patient satisfaction.
Limited data exists on the functional and radiological outcomes of PR.

Purpose of the Study:

To evaluate the functional and radiological outcomes of preservation rhinoplasty.
To assess patient satisfaction following PR.

Main Methods:

Prospective clinical study of 30 patients undergoing PR.
Radiological assessment using cone beam computed tomography (CBCT) pre- and post-surgery.
Patient-reported outcomes measured via the Rhinoplasty Outcomes Evaluation (ROE) questionnaire.

Main Results:

PR resulted in a preserved and widened internal nasal valve (INV) angle post-surgery (20.77° to 21.82°).
High patient satisfaction reported for both functional and aesthetic results (ROE score 18.4 ± 4.3).

Conclusions:

Preservation rhinoplasty effectively preserves and widens the internal nasal valve angle.
PR demonstrates high patient satisfaction regarding functional and aesthetic improvements.