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Erschienen in:
01.09.2023 | Original Paper
Dorsum preservation rhinoplasty: a matched cohort comparison of upper and lower septal excision techniques
Erschienen in: European Journal of Plastic Surgery | Ausgabe 6/2023
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Background
Dorsum preservation rhinoplasty is a commonly performed procedure worldwide by facial plastic surgeons. Despite extensive research in measuring the outcomes of rhinoplasty, there is still no consensus on the ideal outcome. This study compares two dorsum preservation methods, namely upper septal strip excision and lower septal strip, in terms of long-term aesthetic and functional outcomes.
Methods
This prospective randomized study included 173 patients who underwent the preservation dorsum technique. The aesthetic and functional results of the upper and lower septal strip excision were analyzed. Patient satisfaction was measured using validated outcome instruments and patient-reported outcome measurements (SCHNOS). Statistical analysis was conducted to compare the outcomes of the two techniques.
Results
At the 12-month mark, upper septal strip excision demonstrated higher aesthetic evaluation compared to lower septal strip, supporting the rationale behind its development. The lower septal strip method, however, was found to be more adaptable and enabled a broader range of septal work. Upper septal strip excision showed greater efficiency in enhancing both preoperative and postoperative nasal function. Regarding postoperative nasal aesthetics, both methods appeared to be equally effective.
Conclusions
The findings of this study suggest that upper septal strip excision may be a more successful preservation technique compared to the lower septal strip method in the context of dorsum preservation rhinoplasty.
Level of evidence: Level IV, therapeutic study.