Comparison of nasal senses following open and closed rhinoplasty

Okur, Mehmet İhsan; Gökdemir, Onur; Karasu, Necmettin; Yildirim, Alpagan Mustafa

doi:10.3906/sag-1405-52

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…Okur et al investigated differences in sensation on multiple regions of the nose in patients at various postoperative stages compared with their preoperative sensation based on whether they underwent open or closed rhinoplasty. 36 Both the open and closed groups had reduced sensation 1 week after surgery. However, the authors found reduced columellar sensation only in the open group that was not present in the closed group.…”

Section: Prospective Cohortmentioning

confidence: 93%

Outcomes of Closed versus Open Rhinoplasty: A Systematic Review

et al. 2022

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Open and closed rhinoplasty are two main approaches to perform nasal modifications. According to current literature, there is no current consensus among plastic surgeons and otolaryngologists on which technique is preferred in terms of aesthetic result, complications, and patient satisfaction. This study uses published research to determine whether open or closed rhinoplasty leads to superior patient outcomes. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews were followed and a literature search was conducted in four databases based on our search strategy. Articles were then imported into COVIDENCE where they underwent primary screening and full-text review. Twenty articles were selected in this study after 243 articles were screened. There were 4 case series, 12 retrospective cohort studies, 1 prospective cohort study, 1 case–control, and 2 outcomes research. There were three cosmetic studies, eight functional studies, and nine studies that included both cosmetic and functional components. Sixteen studies utilized both open and closed rhinoplasty and four utilized open rhinoplasty. Both techniques demonstrated high patient and provider satisfaction and no advantage was found between techniques. Based on available studies, we cannot conclude if there is a preference between open or closed rhinoplasty in terms of which technique leads to better patient outcomes. Several studies determined that open rhinoplasty and closed rhinoplasty leads to comparative patient satisfaction. To make outcome reporting more reliable and uniform among studies, authors should look to utilize the Nasal Obstruction and Septoplasty Effectiveness scale and the Rhinoplasty Outcome Evaluation.

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Section: Prospective Cohortmentioning

confidence: 93%

Outcomes of Closed versus Open Rhinoplasty: A Systematic Review

et al. 2022

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Sensory Changes in Nasal Subunits Following Open and Closed Rhinoplasty: A Randomized Controlled Trial

Altunal,

Celik,

Kocer

et al. 2023

Aesth Plast Surg

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Comparison of Changes in Nasal Skin Sensation After Primary and Revision Rhinoplasty Procedures Using Semmes-Weinstein Monofilament Testing

Akyiğit

Keleş

Yildirim

et al. 2021

Aesthetic Surgery Journal

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Background Numbness of the nasal skin is one of the most common complications following rhinoplasty Objectives The present study investigates postoperative changes in nasal skin sensation among primary and revision rhinoplasty patients, and evaluates the recovery outcomes for both groups. Methods A prospective, randomized blinded study was undertaken involving 100 primary and 34 revision open rhinoplasty patients, and 50 volunteers as control group. Semmes-Weinstein monofilament testing was performed on seven designated nasal points preoperatively and at postoperative months 1, 3, 6 and 12, and the results were evaluated. Results Among the primary rhinoplasty patients, the change in reduced sensation upon pressure to the tip and infratip over time was significant (p<0.001), while there was no statistically significant difference for the other points. Among the revision rhinoplasty patients, the change in reduced sensation upon pressure to the tip, infratip and the base of columella over time was significant (p<0.001), while there was no statistically significant difference at the other points. In a comparison of the revision and primary rhinoplasty patients at all timepoints, a statistically significant reduction in sensation was noted upon the application of pressure to all points in the revision patient group (p<0.001). Conclusions This study found that the sense of touch upon pressure returned to normal, aside from at the tip and infratip, by the end of month 12 in primary rhinoplasty patients. The revision rhinoplasty patients, in turn, were observed to have reduced sensation upon pressure by the end of month 12, with the greatest reduction at the tip, infratip and columellar base.

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Comparison of nasal senses following open and closed rhinoplasty

Cited by 4 publications

References 8 publications

Outcomes of Closed versus Open Rhinoplasty: A Systematic Review

Outcomes of Closed versus Open Rhinoplasty: A Systematic Review

Sensory Changes in Nasal Subunits Following Open and Closed Rhinoplasty: A Randomized Controlled Trial

Comparison of Changes in Nasal Skin Sensation After Primary and Revision Rhinoplasty Procedures Using Semmes-Weinstein Monofilament Testing

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