Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Nov 1;154(5):967-976.
doi: 10.1097/PRS.0000000000011307. Epub 2024 Jan 23.

Low Strip Unifying Hybrid Rhinoseptoplasty: A Novel Classification in Dorsal Preservation Surgery

Salvatore Taglialatela Scafati  1 , Mario Rasulo  1 , Abdülkadir Göksel  2
Affiliations

Low Strip Unifying Hybrid Rhinoseptoplasty: A Novel Classification in Dorsal Preservation Surgery

Salvatore Taglialatela Scafati et al. Plast Reconstr Surg. .

Abstract

Background: Preservation rhinoplasty techniques continue to evolve. Suture tip-plasty with minimal resection and grafting, lateral crural tensioning, minimal excision from the lateral crura, dorsal preservation, subperichondrial dissection, and preservation of the ligaments have become the milestones of modern rhinosurgery. However, every time the dorsal frame is modified by means of rasping, shaving, or osteotomy, or the nasal tip is structured using grafts, surgeons are essentially applying structural concepts to their technique. The term "hybrid rhinoplasty" seems to include a more appropriate definition of this approach.

Methods: The authors performed a retrospective analysis of the medical records of patients who underwent primary septorhinoplasty using the low strip unifying hybrid rhinoseptoplasty concept from December of 2019 to June of 2022. Patient functional satisfaction and cosmetic satisfaction were evaluated using the Rhinoplasty Health Inventory and Nose Outcome scale.

Results: All reported procedures had low revision rates with good cosmetic and functional outcomes.

Conclusions: Tailoring the surgical technique is essential in rhinoplasty. The authors present a new technical paradigm to help surgeons choose the best approach for dorsal preservation surgery.

Clinical question/level of evidence: Therapeutic, IV.

PubMed Disclaimer

References

    1. Daniel RK. The preservation rhinoplasty: a new rhinoplasty revolution. Aesthet Surg J. 2018;38:228–229.
    1. Daniel RK, Palhazi P. The nasal ligaments and tip in rhinoplasty: an anatomical study. Aesthet Surg J. 2018;38:357–368.
    1. Palhazi P, Daniel RK, Kosins AM. The osseocartilaginous vault of the nose: anatomy and surgical observations. Aesthet Surg J. 2015;35:242–251.
    1. Saban Y, Polselli R. Atlas d’Anatomie Chrirurgicale de la Face et du Cou. Florence, Italy: SEE Editrice; 2009.
    1. Cakir B. Aesthetic Septorhinoplasty. New York: Springer; 2016.