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Open rhinoplasty without transcolumellar incision
1Department of Plastic Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.
Plastic and Reconstructive Surgery
|February 1, 1996
Summary
This study introduces a scarless open rhinoplasty technique. By modifying incisions, surgeons achieve excellent nasal framework visualization without a columellar scar, offering a cosmetic alternative.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Plastic Surgery
Background:
- Traditional open rhinoplasty involves a transcolumellar incision, resulting in a visible scar.
- Minimizing visible scarring is a key goal in aesthetic and reconstructive nasal surgery.
Purpose of the Study:
- To present and evaluate a modified open rhinoplasty technique that avoids a transcolumellar incision.
- To achieve adequate nasal framework exposure without compromising surgical outcomes.
Main Methods:
- Utilized bilateral paramarginal incisions extended into the nasal floors.
- Performed wide undermining at the base of the columella.
- Presented the nasal tip and crura complex through a nostril.
Main Results:
- The modified technique provided wide exposure of the nasal framework, comparable to traditional open rhinoplasty.
- Satisfactory aesthetic and functional results were achieved in selected patients over an 8-year period.
- No transcolumellar scar was observed with this approach.
Conclusions:
- Open rhinoplasty without a transcolumellar incision is a viable alternative to the traditional technique.
- This scarless approach can effectively replace traditional open rhinoplasty in suitable cases.
- The technique offers improved cosmetic outcomes by eliminating the columellar scar.