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Functional Outcomes of Dorsal Preservation Rhinoplasty: A Systematic Review and Meta-Analysis
Chelsea Chan1, Alexander Scott North2, Hamid Reza Khademi Mansour3
1NHS Glasgow and Clyde South Glasgow University Hospitals NHS Trust, General Surgery, United Kingdom of Great Britain and Northern Ireland, Glasgow.
Facial Plastic Surgery : FPS
|July 30, 2026
Summary
Preservation rhinoplasty offers functional outcomes comparable to structural rhinoplasty, with both techniques significantly improving patient-reported nasal function. This systematic review analyzed objective data to assess these improvements.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Rhinology
Background:
- Preservation rhinoplasty is gaining popularity as an alternative to traditional structural rhinoplasty.
- Concerns exist regarding potential nasal airway narrowing and objective functional data post-preservation rhinoplasty.
Purpose of the Study:
- To systematically review and analyze studies on the functional outcomes of preservation rhinoplasty.
- To compare functional results between preservation and structural rhinoplasty.
Main Methods:
- Systematic review and meta-analysis of functional outcomes in preservation rhinoplasty.
- Included studies reported quantitative data using validated measures like NOSE, SCHNOS-O, VAS-F, SNOT-22, or rhinometry.
Main Results:
- Twenty-two studies (n=2058) met inclusion criteria.
- Controlled studies found no significant difference in outcomes between preservation and structural rhinoplasty.
- Uncontrolled studies indicated significant postoperative functional improvement from baseline with preservation rhinoplasty.
Conclusions:
- Preservation and structural rhinoplasty demonstrate comparable functional results.
- Both surgical approaches significantly enhance validated patient-reported outcome measures for nasal function.