A Review and Modification of Dorsal Preservation Rhinoplasty Techniques

Facial Plastic Surgery & Aesthetic Medicine
Priyesh N PatelSam P Most

Abstract

Importance: Although conventional hump resections are a hallmark of rhinoplasty, there has been a rekindled interest in dorsal preservation (DP) techniques as a means for addressing the dorsal hump, with claims of superior functional and aesthetic results. As such, an understanding of DP, including technical considerations and outcomes, is imperative. Observations: DP allows for mobilization of the osseocartilaginous nasal vault as a single unit and thereby prevents disruption of the natural keystone area. The osseous nasal vault is managed with a transverse osteotomy and either a bilateral single lateral osteotomy (pushdown procedure) or bilateral bony wedge resections (letdown procedure) to allow for descent of the nasal dorsum. A variety of approaches to the septum exist, each differentiated by the location of cartilage resection: subdorsal, high-septal, midseptal, or inferior septum. These techniques result in pleasing dorsal aesthetic lines but may be limited by a higher rate of dorsal hump recurrence. Patency of the internal nasal valve (INV) is theoretically improved with DP. Robust series with patient-reported outcomes are lacking, although several reports and early experience at our center with a newly described high-s...Continue Reading

References

Feb 1, 1973·The Journal of Laryngology and Otology·J Siegler
Jan 1, 1971·Plastic and Reconstructive Surgery·J Joseph
Jan 17, 2004·Aesthetic Plastic Surgery·Raymond Gola
Oct 1, 2004·Plastic and Reconstructive Surgery·Rod J RohrichJeffrey E Janis
Jul 11, 2013·Revue de stomatologie, de chirurgie maxillo-faciale et de chirurgie orale·D BatifolS Lorenzo
Apr 18, 2015·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Josh SurowitzSam P Most
Dec 1, 2015·Clinics in Plastic Surgery·Babak Azizzadeh, Michael Reilly
Jan 11, 2018·Aesthetic Surgery Journal·Yves SabanPeter Palhazi
Jan 11, 2018·Aesthetic Surgery Journal·Rollin K Daniel
Jun 8, 2018·JAMA Facial Plastic Surgery·Cherian K KandathilSam P Most
Dec 20, 2018·Facial Plastic Surgery : FPS·Emily SpataroSam P Most
Apr 9, 2019·Aesthetic Surgery Journal·Aaron M Kosins, Rollin K Daniel
Jun 11, 2019·Plastic and Reconstructive Surgery·Umut Tuncel, Oguzhan Aydogdu
Aug 29, 2019·Plastic and Reconstructive Surgery·Umut Tuncel, Oguzhan Aydogdu
Oct 23, 2019·Facial Plastic Surgery : FPS·Jose Juan Montes-Bracchini

❮ Previous
Next ❯

Citations

Aug 5, 2020·Facial Plastic Surgery : FPS·Marc LevinMichael Roskies
Jul 10, 2020·Aesthetic Plastic Surgery·Enrico Robotti
Oct 25, 2020·Aesthetic Plastic Surgery·Güncel Öztürk
Feb 9, 2021·Facial Plastic Surgery & Aesthetic Medicine·Mohamed AbdelwahabSam P Most
Feb 25, 2021·Facial Plastic Surgery : FPS·Priyesh N PatelSam P Most
Feb 24, 2021·Facial Plastic Surgery : FPS·Diego Arancibia-TagleAlwyn D'Souza
Mar 12, 2021·Facial Plastic Surgery : FPS·Wilson DewesJosé Carlos Neves
Mar 15, 2021·Facial Plastic Surgery : FPS·Mario Bazanelli Junqueira Ferraz, Guilherme Constante Preis Sella
Nov 11, 2020·The Journal of Craniofacial Surgery·Güncel Öztürk
May 11, 2021·Facial Plastic Surgery & Aesthetic Medicine·Priyesh N PatelSam P Most
Sep 27, 2020·Annales de chirurgie plastique et esthétique·G Öztürk
Jul 16, 2021·Facial Plastic Surgery & Aesthetic Medicine·Jeanie Sozansky Lujan, Jose Enrique Barrera
Sep 4, 2021·Plastic and Reconstructive Surgery. Global Open·Richard O DavilaAmar Suryadevara
Sep 10, 2021·Facial Plastic Surgery : FPS·Amar Gupta

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.