Closed rhinoplasty, technique and results

ABSTRACT

Prior to 1990's, all rhinoplasty surgeries were performed via the intranasal approach which is often called closed rhinoplasty or basic technique. In the closed technique there is lacking of the external scaring, reduced post operative edema, shorter operative time, decreased morbidity, and gives rapid return to a normal appearance. In this study the closed technique was performed in forty cases with aesthetic, functional and traumatic nasal deformities. The patients were collected from the .ENT departments in Al Hussein university hospital in Cairo, Royal commission medical center in Yanbu, KSA, and Al Tamenal general hospital in Ryadh, KSA, during the period from June 2009 to June 2010. A simultaneous septoplasty was done in eleven patients partial turbinectomy in two patients were performed with the basic rhinoplasty procedure to improve nasal breathing. The incisions and other steps of the closed rhinoplasty technique used in this study, allowed exposure of all bony and cartilaginous compartments of the nose and offered the performance of all goals needed for nasal reconstruction. After analysis of the results of this study, the conclusion was that, the closed technique gives satisfactory results for all wanted purposes of rhinoplasty performed