title: Open-tip approach: evolutions in rhinoplasty.
abstract: Modifications and innovations in open-structure rhinoplasty that have occurred as this technique has evolved are discussed. In addition, the philosophy and fundamentals of open-tip approach in rhinoplasty are reexamined. A retrospective review of representative patients in a hospital practice setting was performed. All surgical procedures were conducted in a department of plastic surgery of the University of Rome Tor Vergata. The preoperative and long-term results of each patient are compared to demonstrate the effectiveness of the described techniques. The fundamental philosophy of open-tip rhinoplasty is the maintenance of the integrity and strength of the nasal skeleton. Modifications of tip grafting techniques, along with additional domal grafting techniques, and a stronger focus on domal suturing techniques result in a softer contour and lack of tip tensions while maintaining structural support.
authors.affiliation: University of the Study "Tor Vergata" Rome, Italy. pietrogentile2004@libero.it
authors.forename: Pietro
authors.initials: P
authors.lastname: Gentile
authors.forename: Davide J
authors.initials: DJ
authors.lastname: Bottini
authors.forename: Fabio
authors.initials: F
authors.lastname: Nicoli
authors.forename: Valerio
authors.initials: V
authors.lastname: Cervelli
mesh_terms: D000328:Adult; D001672:Biocompatible Materials; D002356:Cartilage / Q000637:transplantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D015508:Nasal Obstruction / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D011095:Polyethylenes; D019736:Prostheses and Implants; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D016038:Skin Transplantation; D013536:Suture Techniques
chemical_list: D001672:Biocompatible Materials; C084562:Medpor; D011095:Polyethylenes