Evidence map›Paper›PMID 39557639›Full record

ArticleAesthetic plastic surgery2025

The Process of Single Surgeon Through Structural and Dorsal Preservation in Primary Rhinoplasty: A 594 Case Series with One-Year Follow-Up.

Ramon Tarragona, Carlo Mirra

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Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

2 authors.

Ramon TarragonaPlastic, Reconstructive and Aesthetic Surgery Department, Clinica Planas, Pere II de Montcada 16, Barcelona, 08034, Spain. ramontarragona@gmail.com.
Carlo MirraDepartment of Plastic, Reconstructive and Cosmetic Surgery, Campus Bio-Medico University Hospital, Via Alvaro del Portillo 200, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDorsal management is a challenging step in rhinosurgery. In the last decade, an old philosophy of preserving the dorsum has gained popularity alongside the traditional hump resection proposed by Joseph. This study aims to investigate the journey of a rhinosurgeon transitioning from structural to dorsal preservation techniques in primary rhinoplasty.

methodsA retrospective study was conducted on 594 consecutive patients who underwent primary rhinoplasty by the main surgeon (R.T.) with at least 12 months of follow-up. All surgeries were categorized based on the dorsal approach into Structural Dorsal Rhinoplasty (SDR), Partial Dorsal Preservation Rhinoplasty (PDPR), and Total Dorsal Preservation Rhinoplasty (TDPR). The three groups were compared based on the following variables: operative time, long-term complication rate, and re-intervention rate.

resultsThe study included 67 males and 527 females, with an average age of 31.43 years. The average anesthesia operative times were 231.30 minutes for SDR, 241.74 minutes for PDP, and 230.32 minutes for TDP, with no statistically significant differences observed. The complication and revision rates were as follows: SDR had 12.74% complications and 7.32% revisions, PDPR had 13.37% complications and 3.82% revisions, and TDPR had 10.57% complications and 3.25% revisions. Hump recurrence rates were 2.54% in SDR, 7.64% in PDPR, and 6.50% in TDPR. Contour irregularities occurred in 9.55% of SDR, 5.09% of PDPR, and 2.44% of TDPR cases. Both hump recurrence and contour irregularities showed statistically significant differences among the three groups.

conclusionThis study analyzed how the aforementioned variables change during the transition from structural to dorsal preservation techniques, considering the latter as the natural evolution in rhinoplasty. 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 .

Indexed as

RhinoplastyAdolescentAdultCohort StudiesEstheticsFemaleFollow-Up StudiesHumansMaleMiddle AgedOperative TimePostoperative ComplicationsReoperationRetrospective StudiesTime FactorsTreatment OutcomeDorsal managementDorsal preservationHump recurrencePreservation rhinoplastyStructural rhinoplasty

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.