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Simultaneous Rhinoseptoplasty and Orthognathic Surgery: Outcome Analysis of 250 Consecutive Patients Using a Modified Le Fort I Osteotomy

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  • Rhinoplasty
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Abstract

Background

The purpose of the present study was to assess the safety and efficacy of both functional intranasal procedures and cosmetic rhinoplasty combined with bimaxillary surgery.

Methods

The author executed a retrospective cohort study derived from patients who underwent combined rhinoseptoplasty and bimaxillary surgery at a private practice setting (Face Surgery Center, Parma, Italy) between April 2006 and 2015 by a single surgeon. The minimum follow-up was 12 months. Patients underwent bimaxillary orthognathic surgery, functional nasal surgery and cosmetic rhinoplasty.

Results

Two-hundred and fifty (250) consecutive, non-randomized patients met the inclusion criteria to enter the study. The overall complication rate was 5%, whereas the revision rate was 9%, showing an overall low rate, comparable to that of primary rhinoplasty (control group). About 94% of the patients polled after this procedure asserted they definitely accepted to have rhinoplasty only because it was included in one single surgical act together with orthognathic surgery.

Conclusion

Cosmetic rhinoplasty shows great potentials to change our patients’ appearance, whereas orthognathic surgery corrects jaw skeletal deformities and builds the right foundation for facial harmony. The combination of both procedures magnifies the single results reciprocally and significantly enhances the final outcomes. The quality of the overall aesthetic results, the scarcity of complications and the low percentage of defects that require revisions lead to the conclusion that when alterations to both the jaws and the nose are detected, a single intervention can grant great benefit to the patients in terms of morbidity and costs.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Acknowledgements

None of the authors has a financial interest in any of the products, devices or drugs mentioned in this manuscript.

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Authors and Affiliations

  1. Face Surgery Center, Via R. Bormioli 5/A, 43122, Parma, Italy

    M. Raffaini & R. Cocconi

  2. Department of Maxillo Facial Surgery, Azienda Ospedaliero-Universitaria Careggi, Largo Palagi 1, 50134, Florence, Italy

    G. Spinelli & T. Agostini

Authors
  1. M. Raffaini
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  2. R. Cocconi
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  3. G. Spinelli
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  4. T. Agostini
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Correspondence to T. Agostini.

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Raffaini, M., Cocconi, R., Spinelli, G. et al. Simultaneous Rhinoseptoplasty and Orthognathic Surgery: Outcome Analysis of 250 Consecutive Patients Using a Modified Le Fort I Osteotomy. Aesth Plast Surg 42, 1090–1100 (2018). https://doi.org/10.1007/s00266-018-1121-2

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  • DOI: https://doi.org/10.1007/s00266-018-1121-2

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