Should you fracture your nose, the type of break often determines if rhinoplasty is required and, if so, whether the procedure should be open, which is more invasive, or closed, which hides incisions within the nose. Your surgeon’s preference may also determine the approach.
“Closed reduction is a relatively simple procedure, at times producing acceptable outcomes,” explained the Penn State-based authors of a study that appeared in a recent Archives of Facial Plastic Surgery. “However, advocates of open reduction purport better cosmetic results and a high likelihood that closed reductions will eventually need a second operation using an open reduction technique.”
Despite what these advocates believe, the study found that revisions are actually more commonly required after open rhinoplasty. Analyzing 86 patients over several years, the researchers found that 9% of open rhinoplasty patients underwent revisions, while only 2% of closed rhinoplasty patients needed another surgery.
Both revision rates are quite low, indicating that qualified surgeons usually choose the right technique for each patient’s individual kind of fracture-but that’s not to say it’s an easy, obvious choice.
“Deciding which technique to use for a given nasal fracture can be challenging,” the study authors wrote. “Not all fractures can be treated using closed techniques and, conversely, not all fractures require the time and expense of an open reduction.”
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