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Incision and Scar Analysis in Open (External) Rhinoplasty
Peter A. Adamson, MD, FRCSC;
Oakley Smith, MD, FRCSC;
Guy J. Tropper, MD, FRCSC
Arch Otolaryngol Head Neck Surg. 1990;116(6):671-675.
Abstract
• Open (external) rhinoplasty is becoming increasingly popular. Two of its disadvantages most frequently espoused are the difficulty in making the external incision atraumatically and the resulting scar. To diminish these concerns, different incision lines and methods of exposure have been proposed by various authors. These are reviewed along with our preferred technique. We reviewed 100 consecutive cases of open rhinoplasty, yielding 81 patients who underwent subjective and objective scar analysis. There was 1 subjective failure (1.2%), and 2 minor objective failures (2.5%). Recommendations are made to minimize difficulties in performing the open approach and to maximize scar cosmesis.
(Arch Otolaryngol Head Neck Surg. 1990;116:671-675)
Author Affiliations
From the Department of Otolaryngology—Head and Neck Surgery, University of Toronto (Canada).
Footnotes
Accepted for publication February 6, 1990.
Presented at the spring meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Palm Beach, Fla, April 1988.
Reprint requests to PO Box 47, Suite 2707, Toronto Dominion Bank Tower, Toronto-Dominion Center, Toronto, Ontario, Canada M5K 1B7 (Dr Adamson).
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