Open Rhinoplasty vs Endonasal: Old Discussion, New Ideas

Tuesday, October 1, 2024

11:00 AM – 12:00 PM EDT

Location: MBCC, Ocean Drive A

CME/MOC Credit: 1

Disclosure(s):

Cemal Cingi, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Nar Maya Thapa, MS:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Suzuki Masanobu, MD, PhD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Fikret Kasapoglu:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

PROGRAM DESCRIPTION: Endonasal rhinoplasty is a closed-type surgical approach with incisions in the nose's interior. The closed approach means no scar will be seen outside the nose. This is an advantage of this approach. Some open rhinoplasty defenders say that it comes at the cost of the limited visibility afforded by highly constricted operative openings, which renders the operation arduous, and putting the nasal skin back in place is challenging, but this is not true. The incisions on each side are disconnected. In addition, endonasal rhinoplasty has the advantage of keeping some natural attachments in their position, making it easier and safer to finalize the surgical procedure. In contrast, open rhinoplasty employs an incision across the columella that joins the incisions on both sides.
While closed rhinoplasty does allow the correction of multiple cosmetic nasal defects and avoids scarring of the columella, open rhinoplasty is more effective than the endonasal approach in highly deformed and asymmetric noses. The risk of a highly visible columellar scar is, in any case, only slight. Some practitioners have acquired great expertise in the endonasal approach, with good outcomes, especially where the nasal anatomy is uncomplex. However, where the underlying nasal problem is complicated, such as rhinoplasty in cleft lip, nasal torsion, or grave post-surgical deformity, open techniques come into their own.

Learning Objectives:

Learn the advantages of both endonasal and open rhinoplasty approaches.
Learn the disLearadvantages of both endonasal and open rhinoplasty approaches.
Learn and discuss various ethnic noses and benefits of endonasal and open rhinoplasty approaches.

Moderator(s)

Cemal Cingi, MD

Professor
Eskisehir Osmangazi University, Medical Faculty, Department of Otorhinolaryngology
Eskisehir, Eskisehir, Turkey

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Panelist(s)

Nar Maya Thapa, MS

Professor and former HOD
Dept of ENT-HNS MMC, TUTH, IOM
Kathmandu, Bagmati, Nepal

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
Suzuki Masanobu, MD, PhD

Assistant Professor
Department of Otolaryngology-Head and Neck Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido Universit
Sapporo, Hokkaido, Japan

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Resources
Fikret Kasapoglu

Professor
Bursa Uludag University School of Medicine
Nilufer, Bursa, Turkey

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Resources