Push-Down Technique Without Osteotomy: A New Approach

Öztürk, Güncel

doi:10.1007/s00266-020-01660-y

Cited by 29 publications

(27 citation statements)

References 12 publications

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“…This was due to the lack of data reporting in some studies as well as the heterogeneity of the outcome variables used to evaluate patient satisfaction. Despite this, the highest mean postoperative ROE satisfaction score listed in a dorsal preservation study was 90.5 19 compared with 82.59 20 in a structural rhinoplasty study (scale range 0-100, with a higher value indicating greater satisfaction). Given the limited study numbers, it is not possible to draw the conclusion that dorsal preservation rhinoplasty allows for greater postoperative satisfaction when compared with structural rhinoplasty.…”

Section: Resultsmentioning

confidence: 84%

Patient Satisfaction following Structural versus Preservation Rhinoplasty: A Systematic Review

2020

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Recently, dorsal preservation rhinoplasty has been gained acceptance among facial plastic surgeons. Despite this, there is limited literature on patient satisfaction following preservation rhinoplasty. This systematic review aims to evaluate all studies quantifying patient satisfaction and to compare results between structural and dorsal preservation rhinoplasty. OVID Medline, EMBASE, and PubMed databases were searched. All studies from the years 2010 to 2020 evaluating satisfaction in patients receiving either structural or dorsal preservation rhinoplasty were included. Data regarding study demographics as well as patient satisfaction results were extracted from included studies. Descriptive results and analysis were calculated. A total of 2,172 articles were initially identified, of which 29 articles were included in the final analysis. Of the 29 articles, 25 were focused on structural rhinoplasty and 4 were focused on preservation rhinoplasty. Of the 25 structural rhinoplasty articles, 17 used the Rhinoplasty Outcome Evaluation (ROE) questionnaire to evaluate patient satisfaction and 5 used the FACE-Q scale. Among the 25 structural rhinoplasty studies, 14 (56%) reported statistically significant improvements in patient satisfaction evaluation scores after rhinoplasty. Among the four preservation rhinoplasty studies, one (25%) study reported significant improvements in satisfaction scores after rhinoplasty. Despite this, most studies included a statement that satisfaction improved in patients following rhinoplasty. Literature in this review supports both structural and preservation rhinoplasty, resulting in high satisfactory results for patients following surgery. More research must be conducted to further quantify satisfaction following preservation rhinoplasty and prospectively compare satisfaction between the two rhinoplasty techniques.

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Section: Resultsmentioning

confidence: 84%

Patient Satisfaction following Structural versus Preservation Rhinoplasty: A Systematic Review

2020

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“…However, the patients who had nasal hump and septal deviation are still challenging for aesthetic and plastic surgeons. 4,[15][16][17][18] The suturing techniques in rhinoplasty area are commonly focused on tip suturing. 25 Medial crural, transdomal, and interdomal sutures were reported as the most common suturing approaches in rhinoplasty surgeries.…”

Section: Discussionmentioning

confidence: 99%

“…2 Dorsal preservation techniques are also commonly used in both closed and open rhinoplasty procedures. [3][4][5][6] Septal deviation deformity is another common problem among patients who goes under aesthetic and plastic surgery. The estimated rate of septal deviation was reported to be 77% to 90% in general population.…”

mentioning

confidence: 99%

New Suturing Approaches for Patients with Nasal Hump and Septal Deviation

Öztürk¹

2022

Ann Plast Surg

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Rhinoplasty is one of the most common applied aesthetic surgery procedures worldwide. Dorsal hump deformity is common in western countries due to nasal profile of Whites. Septal deviation deformity is another common problem among patients who goes through aesthetic and plastic surgery. The estimated rate of septal deviation was reported to be 77% to 90% in the general population. The patients who had dorsal hump and septal deviation simultaneously are considered to be challenging for surgeons. In this research, the author presents new suturing approaches, which would be beneficial in dorsal preservation techniques in terms of fixing the septal deviation. One hundred and seventeen patients met the inclusion and exclusion criteria, and their records were assessed retrospectively. The patients who underwent either push-down and let-down techniques or septorhinoplasty were applied "8" shaped or loop suturing approaches. In addition, 33 patients with the same inclusion and exclusion criteria in whom classical loop suturing technique was used were included in the study. The Rhinoplasty Outcome Evaluation scores ranged between 80 and 100 points after 1 year. The initial median Rhinoplasty Outcome Evaluation score was 52.5, and it increased to 91.00 points at 12 months after surgery ( P < 0.001). Patient satisfaction was excellent in 92.68% of the study group, and it was 72.72% in the control group. Excellent satisfaction rate was higher in the study group ( P = 0.01). This study is the first to demonstrate the beneficial effects of loop and "8"-shaped sutures in patients who had nasal hump and septal deviation deformities. These suturing approaches will allow better long-term outcomes.

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“…32 Öztürk (Turkey) has described performing the push-down technique without an osteotomy and outcomes of this in 62 patients. 33 Interestingly, while early publications on preservation rhinoplasty (e.g., Lothrop, Goodale, and Cottle) was based in the United States, adoption of these techniques appears to have become more widespread in other countries. Paralleling the global increase in publications regarding preservation techniques, there has been increased attention paid to the preservation ideology by US surgeons.…”

Section: Evolution Of Practice and Resurgence Of Preservation Rhinoplmentioning

confidence: 99%

Preservation Rhinoplasty: Evolution and Current State of Practice in the United States

et al. 2021

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Classic Joseph hump reduction techniques have been a hallmark of current rhinoplasty practice and teaching. Recently, there has been a renewed global interest in preservation rhinoplasty techniques, although these techniques are not new. The work and techniques of innovative surgeons including Goodale, Lothrop, and Cottle describing preservation concepts from the late nineteenth century and early twentieth century were not as prevalently adopted as open structural approaches. As such, there has been a relative paucity in both research and teaching of preservation techniques—particularly in the United States. A survey of members of the American Academy of Facial Plastic and Reconstructive Surgery and The Rhinoplasty Society (145 respondents) demonstrates that while 15 (10%) of surgeons are not at all familiar with dorsal preservation surgery, 130 (90%) were. In the group that was familiar with dorsal preservation, the majority were only somewhat familiar (84, 65%) with these techniques. Only 11 respondents received any formal training in dorsal preservation techniques during residency or fellowship. 61 (42%) had attended a course or conference in which dorsal preservation techniques were discussed. One-hundred twenty-two survey respondents (84.1%) do not currently implement preservation techniques into their rhinoplasty practice. Twelve (8%) respondents implement it in <25% of cases, 5 (3%) in 25 to 50% of cases, and 6 (4%) in >50% of cases. As research and formal training in preservation rhinoplasty grow, familiarity and implementation of these techniques will likely also grow in the United States.

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Push-Down Technique Without Osteotomy: A New Approach

Cited by 29 publications

References 12 publications

Patient Satisfaction following Structural versus Preservation Rhinoplasty: A Systematic Review

Patient Satisfaction following Structural versus Preservation Rhinoplasty: A Systematic Review

New Suturing Approaches for Patients with Nasal Hump and Septal Deviation

Preservation Rhinoplasty: Evolution and Current State of Practice in the United States

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