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Evidence-Based Medicine: Current Practices in Rhinoplasty

Tanna, Neil M.D., M.B.A.; Nguyen, Khang T. M.D.; Ghavami, Ashkan M.D.; Calvert, Jay W. M.D.; Guyuron, Bahman M.D.; Rohrich, Rod J. M.D.; Gruber, Ronald P. M.D.

Plastic and Reconstructive Surgery: January 2018 - Volume 141 - Issue 1 - p 137e-151e
doi: 10.1097/PRS.0000000000003977
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Learning Objectives: After studying this article, the participant should be able to: 1. Perform aesthetic and functional nasal analysis to guide septorhinoplasty. 2. Recognize common complications associated with rhinoplasty. 3. Select appropriate septorhinoplasty techniques to refine nasal aesthetics and treat nasal airway obstruction. 4. Identify factors leading to poor patient satisfaction following rhinoplasty.

Summary: Septorhinoplasty is among the most technically challenging procedures in the realm of plastic and reconstructive surgery. Moreover, it is a constantly evolving topic with extensive background literature. Surgeons must be comfortable with the traditional knowledge base and the current practices in the field. This article reviews the latest thinking on patient selection, functional indications, aesthetic analysis, and operative techniques in septorhinoplasty, with an emphasis on key cartilage grafting and tip suture techniques.

New York, N.Y.; Beverly Hills and Palo Alto, Calif.; Cleveland, Ohio; and Dallas Texas

From the Division of Plastic and Reconstructive Surgery, Northwell Health, Hofstra Northwell School of Medicine; the Division of Plastic and Reconstructive Surgery, University of California, Los Angeles; the Division of Plastic and Reconstructive Surgery, University of Southern California; the Department of Plastic and Reconstructive Surgery, Case Western Reserve University; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Division of Plastic and Reconstructive Surgery, Stanford University.

Received for publication July 18, 2016; accepted August 9, 2017.

Disclosure:The authors have no financial interest to declare in relation to the content of this article.

Supplemental digital content is available for this article. Direct URL citations appear in the text; simply type the URL address into any Web browser to access this content. Clickable links to the material are provided in the HTML text of this article on the Journal’s website (www.PRSJournal.com).

Neil Tanna, M.D., M.B.A., Northwell Health, 130 East 77th Street, 10th Floor, New York, N.Y. 11042, ntanna@gmail.com

Copyright © 2017 by the American Society of Plastic Surgeons