Combining Open Structural and Dorsal Preservation Rhinoplasty.

Area of Science:

• Plastic Surgery
• Otolaryngology
• Facial Aesthetic Surgery

Background:

• Dorsal preservation rhinoplasty (DPR) is gaining popularity due to theoretical aesthetic and functional benefits.
• Conventional hump takedown rhinoplasty is the traditional approach for nasal dorsum reduction.
• Existing DPR techniques involve modifications to bony vault management and septal resection.

Purpose of the Study:

• To review the resurgence and techniques of dorsal preservation rhinoplasty (DPR).
• To highlight the need for objective and patient-centered outcome measures in DPR studies.

Main Methods:

• Review of current literature on dorsal preservation rhinoplasty techniques.
• Analysis of modifications in bony vault management and septal resection for DPR.
• Identification of existing studies reporting aesthetic and functional outcomes of DPR.

Main Results:

• Dorsal preservation rhinoplasty (DPR) techniques are evolving with various modifications.
• Partial dorsal preservation, including cartilage-only preservation, has been described.
• Limited studies utilize objective or patient-centered subjective measures to evaluate DPR success.

Conclusions:

• Dorsal preservation rhinoplasty (DPR) shows promise for improved aesthetic and functional outcomes.
• Further research employing objective and patient-centered metrics is crucial for validating DPR efficacy.
• Standardized outcome assessment is needed to compare DPR with conventional rhinoplasty.