Use of osteosynthesis titanium microplates in rhinoplasty
Rui Xavier1,2, Hugo Amorim1, Dirk-Jan Menger3
1Hospital Luz Arrabida Porto Portugal.
Clinical Case Reports
|November 21, 2025
Summary
Solid fixation of the nasal L-strut in reconstructive rhinoplasty is achievable using titanium microplates. This method provides stable, long-term results, even in complex cases.
Area of Science:
- Plastic Surgery
- Biomaterials in Medicine
- Surgical Techniques
Background:
- Reconstructive rhinoplasty presents significant challenges, particularly in achieving stable nasal L-strut fixation.
- The nasal L-strut is crucial for structural integrity and aesthetic outcomes in rhinoplasty.
Purpose of the Study:
- To evaluate the efficacy and stability of titanium microplate fixation for the nasal L-strut in reconstructive rhinoplasty.
- To assess the long-term outcomes of this fixation technique in challenging surgical scenarios.
Main Methods:
- Titanium microplates were used to fix the nasal L-strut to the facial skull.
- Surgical outcomes and fixation stability were assessed post-operatively.
Main Results:
- The titanium microplate fixation technique proved to be stable.
- A good clinical outcome was observed two years after surgery, indicating long-term success.
Conclusions:
- Solid fixation of the nasal L-strut is feasible in complex reconstructive rhinoplasty.
- Titanium microplate fixation offers a stable and effective solution for long-term structural support in rhinoplasty.
Keywords:
nasal L‐strut fixationnasal frameworkreconstructive rhinoplastyrhinoplastytitanium microplates

