Coronal Approach for Dorsal Preservation Rhinoplasty
Jake Alford, Tommy Liu, Justine Lee

TL;DR
This paper introduces a modified rhinoplasty technique using a coronal approach to improve control and outcomes during dorsal preservation surgery.
Contribution
A novel modification to dorsal preservation rhinoplasty using direct visualization via a coronal approach is proposed.
Findings
The coronal approach allows direct visualization of the transverse osteotomy, improving control over the radix and minimizing contour irregularities.
The technique is particularly useful for patients undergoing concurrent procedures requiring a coronal incision.
Direct visualization helps address discrepancies and step-offs in the cranial dorsum during surgery.
Abstract
Dorsal preservation rhinoplasty has increased in popularity over traditional structural rhinoplasty in recent year. Dorsal preservation rhinoplasty fundamentally involves maintaining the structure of the patient’s native osseocartilaginous dorsum without separating the upper lateral cartilages from the septum. Proponents of the dorsal preservation technique argue that maintaining the native dorsum during surgery allows for a more natural appearing postoperative outcome. However, reported challenges and drawbacks of the technique include lowering of the radix or creation of a step off over the dorsal hump at the level of the transverse osteotomy. The aim of the authors is to describe a modification to the dorsal preservation technique in which the osteotomy is performed under direct visualization by way of a coronal approach. The authors describe the relative advantages of this technique…
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Taxonomy
TopicsNasal Surgery and Airway Studies · Facial Rejuvenation and Surgery Techniques · Reconstructive Facial Surgery Techniques
