Advanced Preservation Rhinoplasty in the Era of Osteoplasty and Chondroplasty: How Have We Moved Beyond the Cottle Technique?

Abstract

Background Over the last ten years, many new papers on innovative strategies from different surgeons worldwide have elevated the philosophy of preservation rhinoplasty (PR) to a different level –advanced preservation rhinoplasty. Objectives To illustrate how 4 experienced surgeons approach important anatomical and functional issues related to PR. Methods Miguel Gonçalves Ferreira (M.G.F.), Aaron M. Kosins (A.M.K.), Bart Stubenitsky (B.S.), and Dean M. Toriumi (D.M.T.) were asked about how they approach classical problems and relative contraindications for dorsal PR using different modern advanced preservation rhinoplasty techniques. Results The answers of each surgeon make clear a new reality in dorsal PR that did not exist in the recent past. These advances in dorsal PR techniques are due to many surgeons’ contributions, leading this philosophy to a different level – advanced preservation rhinoplasty. Conclusions Dorsal preservation is making a dramatic resurgence and is fueled by the many very talented surgeons who are demonstrating outstanding outcomes with preservation techniques. The authors believe that this trend will continue, and a mutual collaboration between structuralists and preservationists going forward will continue to advance rhinoplasty as a specialty.

Apaydin Classification of Spreader Flaps Updated

“…The latter one was described as chondroplasty in this article. 15 In fact, the use of electrocautery on the ULCs was presented and popularized in recent years by the Latin American surgeons, but no additional term was described before as chondroplasty. 16 Type 2 SF was performed on two patients (1.7%) in this series.…”