Open septorhinoplasty. Experiences in 200 patients

Area of Science:

• Plastic Surgery
• Otolaryngology

Background:

• Septorhinoplasty is a surgical procedure to correct nasal deformities.
• Two main approaches exist: endonasal and external.
• The external approach faces criticism due to potential columellar skin flap necrosis and visible scarring.

Purpose of the Study:

• To evaluate the safety and efficacy of the external approach to septorhinoplasty using a specific incision technique.
• To compare the benefits of the external approach regarding surgical visualization and reconstruction detail against the endonasal approach.

Main Methods:

• A series of patients undergoing septorhinoplasty via the external approach were analyzed.
• A mid-columellar broken incision technique was employed.
• Meticulous closure techniques were utilized to minimize complications.

Main Results:

• The mid-columellar broken incision with meticulous closure effectively minimized risks of columellar skin flap necrosis and visible scarring.
• The external approach provided significantly better exposure of surgical anatomy compared to the endonasal approach.
• Enhanced visualization facilitated better identification of nasal deformities and more precise reconstructive techniques.

Conclusions:

• The external approach to septorhinoplasty, when utilizing a mid-columellar broken incision and careful closure, is a safe and effective technique.
• This approach offers superior anatomical exposure, leading to improved diagnostic insight and reconstructive outcomes.
• Concerns regarding the columellar incision should not preclude the use of the open approach in septorhinoplasty.