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. 2012 Apr 30:8:13.
doi: 10.1186/1746-160X-8-13.

Semi-open rhinoplasty: a new maxillofacial technique

Francesco Inchingolo  1 , Marco Tatullo, Massimo Marrelli, Alessio D Inchingolo, Roberto Corelli, Angelo M Inchingolo, Paolo Flace, Raffaele Cagiano, Gianna Dipalma, Fabio M Abenavoli
Affiliations

Semi-open rhinoplasty: a new maxillofacial technique

Francesco Inchingolo et al. Head Face Med. .

Abstract

Background: Rhinoplasty "open" represents a surgical technique to access to the internal structures of the nose; it is an alternative to more traditional "closed" rhinoplasty. However, both these techniques have some advantages and some disadvantages. In this work the authors describe a case that shows the steps of a new surgical technique: the "semi-open" rhinoplasty.

Methods: The "semi-open" technique is performed by making an incision to access on the mucosa of both the nostrils, and through this access we separate the cartilages of the columella from the alar cartilages, debriding them at the domus. With such access we can perform any type of rhinoplasty surgery with functional or aesthetic purposes.

Discussions: Traditional techniques have undoubtedly some advantages and some disadvantages. The "semi-open" technique has the several advantages of the open technique, and it does not involve the presence of post-surgical scars.

Conclusions: This innovative technique provides great predictability and minimal postoperative discomfort, with no aesthetic damage.

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Figures

Figure 1
Figure 1
The incision to access on the mucosa of the nostril.
Figure 2
Figure 2
Separation of the cartilages of the columella from the alar cartilages.
Figure 3
Figure 3
The alar cartilages exposed.
Figure 4
Figure 4
An intraoperative procedure for withdraw cartilage.
Figure 5
Figure 5
An intraoperative procedure for withdraw cartilage.
Figure 6
Figure 6
An intraoperative procedure for withdraw cartilage.
Figure 7
Figure 7
An intraoperative procedure for withdraw cartilage.
Figure 8
Figure 8
The suture is performed firstly with separate stitches in the submucosa and then on the mucosa.
Figure 9
Figure 9
The suture is performed firstly with separate stitches in the submucosa and then on the mucosa.
Figure 10
Figure 10
The suture is performed firstly with separate stitches in the submucosa and then on the mucosa.
Figure 11
Figure 11
The suture is performed firstly with separate stitches in the submucosa and then on the mucosa.
Figure 12
Figure 12
The suture is performed firstly with separate stitches in the submucosa and then on the mucosa.
Figure 13
Figure 13
The suture is performed firstly with separate stitches in the submucosa and then on the mucosa.
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References

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