[Results of open structure rhinoplasty].

OBJECTIVES

This study aimed to evaluate the techniques used in open structure rhinoplasty operations, together with a presentation of our results and experience.

PATIENTS AND METHODS

The study included 122 patients (64 males, 58 females; mean age 27 years; range 17 to 48 years) who underwent open structure rhinoplasty. Of these, 72.9% had primary, 9% had revision surgeries; 18% had traumatic deformities. The mean follow-up period was 18 months (range 3 to 24 months).

RESULTS

We did not encounter transcolumellar scar formation or flap necrosis in any of the cases. In five cases (4%), edema and hyperemia were detected in the columellar skin in the early postoperative period. Resorption of the tip graft developed in one (0.8%) of the patients in whom auricular cartilage grafts were used. A year after surgery, one patient (0.8%) presented with granulation tissue formation in the nasal vestibule, secondary to the use of nylon suture material. Axial deviation was seen in the early postoperative period in two patients (1.6%). Five patients (4%) required revision surgery.

CONCLUSION

Open structure rhinoplasty gives excellent results when employed on proper indications and by experienced surgeons.