External rhinoplasty. Comparison of two approaches

Area of Science:

• Plastic Surgery
• Otolaryngology
• Surgical Techniques

Background:

• External rhinoplasty involves altering the nasal structure through incisions made on the exterior of the nose.
• The lower lateral cartilages are key components of the nasal tip and their manipulation is crucial in rhinoplasty.
• Different surgical approaches exist, each with potential advantages and disadvantages.

Purpose of the Study:

• To compare the Gillies-Meyer and Rethi-Sercer techniques in external rhinoplasty.
• To evaluate the ease of performance and access provided by each technique.
• To determine the utility of the Gillies-Meyer approach for challenging closed rhinoplasty cases.

Main Methods:

• Comparative study of two external rhinoplasty techniques.
• Focus on the management of lower lateral cartilages: elevation with columellar skin (Gillies-Meyer) versus remaining attached (Rethi-Sercer).
• Surgical outcomes assessed based on access, exposure, and ease of performance.

Main Results:

• Both the Gillies-Meyer and Rethi-Sercer approaches provide adequate surgical access and exposure.
• The Gillies-Meyer approach was perceived as easier to execute by the surgeons.
• The Gillies-Meyer technique offers potential for extended access, beneficial in difficult closed rhinoplasty.

Conclusions:

• The Gillies-Meyer approach is a viable and potentially advantageous technique in external rhinoplasty.
• Its ease of performance and extended access capabilities make it a valuable option for surgeons.
• Consideration of the Gillies-Meyer approach may improve outcomes in specific rhinoplasty scenarios.