engleski

External rhinoplasty - controversies

Key component of a successful rhinoplasty has always been control of the nasal tip contour. When we think about reshaping nasal tip through external rhinoplasty, we think more about sculpturing and reorientation of the nasal cartilages in contrast to excising the cartilages. The external approach had, at the beginning, a great number of opponents. Their main objections were that there is a scar on the collumela, that stability of the nasal tip is disturbed and that edema is much longer than in an internal approach, not to mention the prolonged operation time. However, those objections do not stand. On the contrary, the biggest advantage of this approach is in the stabilization of the nasal tip and the possibility of grafting, suturing and remodelling the nasal tip. The most commonly used techniques in surgery of the nasal tip aim toward the narrowing of the nasal tip, but years after the healing process and scarring end, the final result is a small, narrow but bulbous tip. Since the bony pyramid stabilizes and stays this way, inadequate surgery on the cartilaginous components results in disturbance of the harmony of the upper, middle and lower parts of the nose.Using an external approach, this negative scenario can be avoided and a long term result can be achieved. The external approach is just another approach to nasal structures and it provides possibilities for solving problems in a more adequate way. A rhinoplasty surgeon must be familiar with the external approach, not only the intranasal approach.

External rhinoplasty ; nasal tip ; surgical approach

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