Reduction Rhinoplasty Re-Endorsed: When Conservative and Measured

SUMMARY: Reduction rhinoplasty has been widely criticised and dismissed due to the current preference for structural rhinoplasty. The criticism is related to airway compromise and secondary structural deformities, both early and late, due to overzealous resection. This two-year study attempted to pr...

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Autor principal:	Peter Sylaidis
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Reduction rhinoplasty cosmetic rhinoplasty rhinoplasty complications Surgery RD1-811
Acceso en línea:	https://doaj.org/article/68c4cb67f31f4948ac3401d849cddbc0
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spelling	oai:doaj.org-article:68c4cb67f31f4948ac3401d849cddbc02021-12-02T05:02:02ZReduction Rhinoplasty Re-Endorsed: When Conservative and Measured2352-587810.1016/j.jpra.2021.07.004https://doaj.org/article/68c4cb67f31f4948ac3401d849cddbc02021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2352587821000644https://doaj.org/toc/2352-5878SUMMARY: Reduction rhinoplasty has been widely criticised and dismissed due to the current preference for structural rhinoplasty. The criticism is related to airway compromise and secondary structural deformities, both early and late, due to overzealous resection. This two-year study attempted to prospectively assess the risk of airway and structural problems following reduction rhinoplasty in 30 consecutive patients. The findings showed no statistically significant difference either in the NOSE score (subjective sense of breathing) or in nasal valving (objective observations), at the 3-month follow-up. Subsequent 12-month telephone reviews revealed no change in the patients’ functional or aesthetic outcomes. There was a 3% structural complication rate (requiring secondary surgery) and a 20% rate for further refining reduction surgery.The findings confirmed the author's impression that conservative, measured reduction rhinoplasty, performed with due consideration to preserving the nasal supportive framework, is a technique well worth endorsing with confidence to reduce the disproportionately large nose. Contemporary surgeons need not feel obliged to only use the more complex later-developed structural rhinoplasty techniques.Peter SylaidisElsevierarticleReduction rhinoplastycosmetic rhinoplastyrhinoplasty complicationsSurgeryRD1-811ENJPRAS Open, Vol 30, Iss , Pp 53-60 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Reduction rhinoplasty cosmetic rhinoplasty rhinoplasty complications Surgery RD1-811
spellingShingle	Reduction rhinoplasty cosmetic rhinoplasty rhinoplasty complications Surgery RD1-811 Peter Sylaidis Reduction Rhinoplasty Re-Endorsed: When Conservative and Measured
description	SUMMARY: Reduction rhinoplasty has been widely criticised and dismissed due to the current preference for structural rhinoplasty. The criticism is related to airway compromise and secondary structural deformities, both early and late, due to overzealous resection. This two-year study attempted to prospectively assess the risk of airway and structural problems following reduction rhinoplasty in 30 consecutive patients. The findings showed no statistically significant difference either in the NOSE score (subjective sense of breathing) or in nasal valving (objective observations), at the 3-month follow-up. Subsequent 12-month telephone reviews revealed no change in the patients’ functional or aesthetic outcomes. There was a 3% structural complication rate (requiring secondary surgery) and a 20% rate for further refining reduction surgery.The findings confirmed the author's impression that conservative, measured reduction rhinoplasty, performed with due consideration to preserving the nasal supportive framework, is a technique well worth endorsing with confidence to reduce the disproportionately large nose. Contemporary surgeons need not feel obliged to only use the more complex later-developed structural rhinoplasty techniques.
format	article
author	Peter Sylaidis
author_facet	Peter Sylaidis
author_sort	Peter Sylaidis
title	Reduction Rhinoplasty Re-Endorsed: When Conservative and Measured
title_short	Reduction Rhinoplasty Re-Endorsed: When Conservative and Measured
title_full	Reduction Rhinoplasty Re-Endorsed: When Conservative and Measured
title_fullStr	Reduction Rhinoplasty Re-Endorsed: When Conservative and Measured
title_full_unstemmed	Reduction Rhinoplasty Re-Endorsed: When Conservative and Measured
title_sort	reduction rhinoplasty re-endorsed: when conservative and measured
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/68c4cb67f31f4948ac3401d849cddbc0
work_keys_str_mv	AT petersylaidis reductionrhinoplastyreendorsedwhenconservativeandmeasured
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Reduction Rhinoplasty Re-Endorsed: When Conservative and Measured

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