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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Reduction Rhinoplasty Re-Endorsed: When Conservative and Measured
1Adelaide Plastic Surgery, Level 4, 18 North Tce, Adelaide, 5000, South Australia, Australia.
JPRAS Open
|August 30, 2021
Summary
Conservative reduction rhinoplasty is a safe and effective technique for reducing large noses. This study found no significant airway or structural issues, supporting its continued use.
Area of Science:
- Plastic Surgery
- Otolaryngology
Background:
- Reduction rhinoplasty faces criticism due to potential airway compromise and structural deformities.
- A preference for structural rhinoplasty has led to the dismissal of reduction techniques.
Purpose of the Study:
- To prospectively assess the risks of airway and structural problems after reduction rhinoplasty.
- To evaluate the functional and aesthetic outcomes of reduction rhinoplasty.
Main Methods:
- Prospective study of 30 consecutive patients undergoing reduction rhinoplasty.
- Assessment of nasal airway using NOSE score and nasal valving at 3 months.
- Follow-up at 12 months via telephone for functional and aesthetic outcomes.
Main Results:
- No statistically significant difference in NOSE score or nasal valving at 3 months.
- No changes in functional or aesthetic outcomes at 12-month follow-up.
- A 3% structural complication rate and a 20% rate for refining reduction surgery were observed.
Conclusions:
- Conservative reduction rhinoplasty, preserving the nasal framework, is a viable technique.
- Surgeons can confidently use reduction rhinoplasty without exclusively adopting complex structural techniques.
- This approach can effectively reduce disproportionately large noses with acceptable complication rates.
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