Rhinoplasty is considered to be one of the most challenging procedures in otolaryngology head and neck surgery. Meticulous planning and excellent surgical skills are pre-requisites for reproducible good outcomes. More than 100 years after the first rhinoplasty, many controversies regarding indication and techniques remain unresolved. The aim of this article is to review current concepts and arg...

The marriage of endonasal rhinoplasty with structural grafting has resulted in more consistent rhinoplasty results. The nasal base can be stabilized by tongue-in-groove techniques, a columellar strut, or extended columellar strut. The middle vault can be addressed with spreader grafts or butterfly grafts. Lower lateral cartilage weakness can be supported with alar batten grafts or repositioning...

Rhinoplasty is regarded to be associated with many risks as the expectations of patient and physician are not always corresponding. Besides of postoperative deformities many other risks and complications have to be considered. Reduction-rhinoplasty e.g. can cause breathing disturbances which are reported in 70% of all revision-rhinoplasty-patients. One has to be aware however that scars and los...

BACKGROUND This study investigated on bacterial contamination of the rhinoplasty field. The effect of preoperative chlorhexidine treatment on decreasing bacterial contamination in the rhinoplasty field is examined. METHODS Thirty patients who underwent rhinoplasty were block randomized into a chlorhexidine, regular-soap, or control group comprising ten participants each. The chlorhexidine gro...

Modern nasal surgery cannot be approached from an exclusive cosmetic or an exclusive functional prospective. An exclusive cosmetic approach to rhinoplasty is conceptually incorrect and surgically limited as the nose has more than an aesthetic purpose, as it is a complex organ considering its respiratory, sensory and cleansing functions. At the same time, nasal surgery that only considers functi...

OBJECTIVES/HYPOTHESIS To validate a new screening tool for body dysmorphic disorder (BDD) in patients seeking aesthetic rhinoplasty. STUDY DESIGN We performed a prospective instrument validation study in an academic rhinology clinic. METHODS The Body Dysmorphic Disorder Questionnaire-Aesthetic Surgery (BDDQ-AS) is a seven-item short questionnaire validated in 116 patients undergoing aesthet...

Patients of African descent are seeking rhinoplasties today more than ever. As a result, the rhinoplasty surgeon must be aware of the ethnic, cultural, anatomic, and surgical issues pertaining to this patient population. In this article, the nuances of rhinoplasty as it pertains to the nasal tip in patients of African descent are discussed.

IntroductIon: The pyriform anatomy is sometimes underestimated and overlooked during patient evaluation for rhinoplasty. Several methods have been described to address the pyriform area and alter its anatomy. Among these methods are placement of paranasal implants, injectable, fat or cartilage grafting, orthodontic management with or without orthognathic surgery. We propose an objective approac...