Priyesh N Patel1, Cherian K Kandathil2, Cibele Madsen Buba3, José Carlos Neves4, Roxana Cobo5, Enrico Robotti6, Fausto López-Ulloa7, Mario Ferraz8, Babak Saedi9, Tuan Pham10, Hesham A Saleh11, Sam P Most2. 1. Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, USA. 2. Division of Facial Plastic and Reconstructive Surgery, Stanford University School of Medicine, Stanford, California, USA. 3. Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil. 4. MYFACE Clinic and Academy, Lisbon, Portugal. 5. Department of Otolaryngology, Clinica Imbanaco Grupo Quiron Salud, Cali, Colombia. 6. rivate Practice, Bergamo, Italy. 7. Department of Otolaryngology, Autonomous University of Queretaro, Querétaro, Mexico. 8. Clínica Dr. Mário Ferraz-Rinoplastia e Cirurgia da Face, Campinas, Brazil. 9. Facial Plastic Division, Department of Otolaryngology, Tehran University of Medical Sciences, Tehran, Iran. 10. Perth Facial Plastic Surgery and Cosmetic Surgery, Perth, Australia. 11. Rhinology/Facial Plastic Surgery, Imperial College London, London, United Kingdom.
Abstract
Background: Dorsal preservation rhinoplasty (DPR) has recently received significant academic attention in part due to theoretical benefits over excisional surgical methods. The purpose of this study was to assess the global practice patterns regarding this technique. Materials and Methods: An 11-item questionnaire was electronically distributed to regional academies/societies representing rhinoplasty surgeons worldwide. Respondent exposure to and use of DPR were assessed based on geographic location. Results: Eight hundred thirty-six responses were received. Despite early publications on DPR originating largely from Western Europe and the United States, Turkey and Mexico have the greatest use of DPR techniques currently. The familiarity across many regions with preservation techniques appear to be secondary to courses and conferences rather than incorporation into training. Mexico demonstrates the greatest exposure to DPR during training. One hundred twenty-five respondents had previously used but abandoned dorsal preservation techniques. Poor results, less predictability, and complications (largely hump recurrence) are cited as common reasons for this. Conclusion: There is variability in the global practice of DPR across regions and this will likely continue to evolve.
Background: Dorsal preservation rhinoplasty (DPR) has recently received significant academic attention in part due to theoretical benefits over excisional surgical methods. The purpose of this study was to assess the global practice patterns regarding this technique. Materials and Methods: An 11-item questionnaire was electronically distributed to regional academies/societies representing rhinoplasty surgeons worldwide. Respondent exposure to and use of DPR were assessed based on geographic location. Results: Eight hundred thirty-six responses were received. Despite early publications on DPR originating largely from Western Europe and the United States, Turkey and Mexico have the greatest use of DPR techniques currently. The familiarity across many regions with preservation techniques appear to be secondary to courses and conferences rather than incorporation into training. Mexico demonstrates the greatest exposure to DPR during training. One hundred twenty-five respondents had previously used but abandoned dorsal preservation techniques. Poor results, less predictability, and complications (largely hump recurrence) are cited as common reasons for this. Conclusion: There is variability in the global practice of DPR across regions and this will likely continue to evolve.