Dorsal Preservation Versus Structural Techniques and Their Application - 01/08/24

Doi : 10.1016/j.fsc.2024.06.011

Dean M. Toriumi, MD ^a,^⁎ , Russell W.H. Kridel, MD ^b, Ira D. Papel, MD ^c,^d, Sam Most, MD ^e, Priyesh N. Patel, MD ^f
^a Otolaryngology Head & Neck Surgery, Rush University Medical School, Chicago, IL, USA
^b Department of Otolaryngology, University of Texas Medical Branch, Galveston Texas and Facial Plastic Surgery Associates, Houston, TX, USA
^c Aesthetic Center at Woodholme, Baltimore, MD, USA
^d Facial Plastic Surgicenter, Ltd, Baltimore, MD, USA
^e Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, CA, USA
^f Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN, USA

^∗Corresponding author. Toriumi Facial Plastics, 60 East Delaware Place, Suite 1425, Chicago, IL 60611.Toriumi Facial Plastics60 East Delaware PlaceSuite 1425ChicagoIL60611

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Thursday 01 August 2024

Résumé

Structure rhinoplasty and preservation rhinoplasty are 2 popular philosophies that can be used alone or in combination to provide a hybrid approach. Structure rhinoplasty is the leading option for revision rhinoplasty and utilizes cartilage grafting techniques to support and reconstruct the nose. Preservation rhinoplasty spares bone, cartilage, ligaments, and soft tissues to minimize the need for grafting and preserves the favorable features of the nose. Structural preservation rhinoplasty uses dorsal preservation in the upper two-thirds of the nose and structure rhinoplasty in the lower third. This hybrid approach has great utility in primary, revision, and reconstructive rhinoplasty.

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Keywords : Structure rhinoplasty, Preservation rhinoplasty, Dorsal preservation, Cartilage grafting, Dorsal hump, Structural grafting, Subdorsal Z-flap, Tetris