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Rhinoplastik

Offene oder geschlossene Technik?

Rhinoplasty

Open or closed technique?

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Zusammenfassung

Dieser Beitrag gibt einen kurzen Einblick in die Geschichte der Rhinoplastik. Verbreitung, Vor- und Nachteile der offenen und der geschlossenen Technik werden dargestellt. Die Bevorzugung eines bestimmten Zugangs hängt ab von aktuellen Strömungen und den Erfahrungen des Operateurs, es gibt regionale Unterschiede. Entscheidend sind ausreichende Kenntnisse beider Techniken, damit der Chirurg entsprechend den Wünschen des Patienten das geeignete Verfahren auswählen kann. Primär sollte dabei ein endonasales Vorgehen angestrebt werden.

Abstract

The present article gives a short historical overview of rhinoplasty. Frequency as well as advantages and disadvantages of the open and closed techniques are discussed. The choice of the surgical access depends on the current flow and the surgeon’s experience. Regional differences do exist. It is essential to have sufficient knowledge of both techniques, in order that the surgeon can choose the appropriate technique according to the wishes of the patient. Primarily, an endonasal approach should be aimed for.

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Literatur

  1. Adams WP, Rohrich RJ, Hollier LH et al (1999) Anatomic basis and clinical implications for nasal tip support in open versus closed rhinoplasty. Plast Reconstr Surg 103:255–261

    Article  PubMed  Google Scholar 

  2. Adamson PA (1990) Incision and scar analysis in open (external) rhinoplasty. Arch Otolaryngol Head Neck Surg 116:671–675

    CAS  PubMed  Google Scholar 

  3. Adamson PA, Galli SK (2005) Rhinoplasty approaches: Current state of the art. Arch Facial Plast Surg 7:32–37

    Article  PubMed  Google Scholar 

  4. Aiach G (1992) Mini-forum – rhinoplasty by external approach external or endonasal approach for rhinoplasty? Ann Chir Plast Esthet 37:498–509

    CAS  PubMed  Google Scholar 

  5. Cardenas-Camarena L, Guerrero MT (2002) Improving nasal tip projection and definition using interdomal sutures and open approach without transcolumellar incision. Aesthetic Plast Surg 26:161–166

    Article  PubMed  Google Scholar 

  6. Constantian MB (2004) The two essential elements for planning tip surgery in primary and secondary rhinoplasty: observations based on review of 100 consecutive patients. Plast Reconstr Surg 114:1571–1581

    Article  PubMed  Google Scholar 

  7. Dayan S, Kanodia R (2009) Has the pendulum swung too far? Trends in the teaching of endonasal rhinoplasty. Arch Facial Plast Surg 11(6):414–416

    Article  PubMed  Google Scholar 

  8. Foda HM (2003) External Rhinoplasty: a critical analysis of 500 cases. J Laryngol Otol 117:473–477

    Article  PubMed  Google Scholar 

  9. Fritz K (2000) Open approach – der „Fortschritt“ zurück an den Beginn der Septorhinoplastik. HNO 48:562–567

    Article  CAS  PubMed  Google Scholar 

  10. Gruber R (1992) Rhinoplasty and open rhinoplasty. In: Peck GC (ed) Complications and problems in aesthetic plastic surgery, Chapt 2. Raven Press, New York/NY

  11. Gruber R, Friedman GD (2002) Suture algorithm for the broad or bulbous nasal tip. Plast Reconstr Surg 110:1752–1764

    Article  PubMed  Google Scholar 

  12. Guerrerosantos J (1990) Open rhinoplasty without skin-columella incision. Plast Reconstr Surg 85:955–960

    Article  CAS  PubMed  Google Scholar 

  13. Gunter JP, Rohrich RJ, Adams WP (ed) (2002) Dallas rhinoplasty: nasal surgery by the masters. Quality Medical Publishing, St. Louis/MO

  14. Johnson CM, Toriumi DM (1990) Open structure rhinoplasty. WB Saunders, Philadelphia/PA

  15. Meyer R (1988) Secondary and functional rhinoplasty. Grune & Stratton, Orlando/FL

  16. Rethi A (1929) Über die korrektiven Operationen der Nasendeformitäten. Chirurg 1:1103

    Google Scholar 

  17. Roe JO (1970) The deformity termed „pug nose“ and its correction with a simple operation (reprint from „the medical record“, June 4, 1887). Plast Reconstr Surg 45:78–83

    Article  Google Scholar 

  18. Sheen JH (1978) Aesthetic rhinoplasty. CV Mosby, St. Louis/MO

  19. Sheen JH (1997) Closed versus open rhinoplasty – and the debate goes on. Plast Reconstr Surg 99:859–862

    Article  CAS  PubMed  Google Scholar 

  20. Simons RL (2004) A personal report: Emphasizing the endonasal approach. Facial Plast Surg Clin North Am 12(1):15–34

    Article  PubMed  Google Scholar 

  21. Simons RL (2009) Perspectives on the evolution of rhinoplasty. Arch Facial Plast Surg 11(6):409–411

    Article  PubMed  Google Scholar 

  22. Tardy ME (1997) Rhinoplasty: The art and the science. WB Saunders, Philadelphia/PA

  23. Tasman AJ (2007) Indikationen und Techniken der Rhinoplastik. In: Berghaus A (Hrsg) Funktionelle und ästhetische Chirurgie der Nase. Laryngorhinootologie 86(Suppl 1):15–39

    Article  Google Scholar 

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Correspondence to A. Berghaus.

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Berghaus, A. Rhinoplastik. HNO 58, 878–881 (2010). https://doi.org/10.1007/s00106-009-2041-x

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  • DOI: https://doi.org/10.1007/s00106-009-2041-x

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