Power-assisted preservation rhinoplasty: experience in 97 consecutive cases

Area of Science:

• Plastic Surgery
• Otolaryngology
• Surgical Technology

Background:

• Preservation rhinoplasty utilizes powered tools (PTs) for precise bone and cartilage reshaping.
• This study focuses on the exclusive use of PTs in dorsal preservation rhinoplasty.

Purpose of the Study:

• To evaluate clinical outcomes of dorsal preservation rhinoplasty exclusively using PTs.
• To share key technical aspects of this surgical approach.

Main Methods:

• Retrospective analysis of 97 primary dorsal preservation rhinoplasty cases (Jan 2021-Jan 2024).
• Inclusion of both open and closed approaches using high-speed diamond burrs, rasps, and microsaws.
• Assessment of functional and aesthetic outcomes via the RHINO Scale at 6 and 12 months.

Main Results:

• Significant improvement in "breathing during sleep" (mean +0.28, p=0.01).
• Average ecchymosis duration: 5.6 days (<30 yrs) and 6.8 days (≥30 yrs).
• Overall complication rate of 8.5% with a low revision rate; no major intraoperative complications.

Conclusions:

• Power-assisted preservation rhinoplasty is safe and effective for precise dorsal reshaping, including closed approaches.
• PTs offer enhanced surgical control, potentially reducing recovery times.
• Limitations include lack of control group and homogenous patient population; further comparative studies are recommended.