Journal archive · Rib, ear and septal grafts · Open versus closed approach · 2016
Endonasal (Closed) Rhinoplasty Technique: Securing Spreader Grafts With Barbed Suture
Bradford BD, Asher SA, Ardeshirpour F.
No abstract is indexed for this record; the PubMed link carries the citation.
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Rib, ear and septal grafts
Modern rhinoplasty builds rather than removes, so the operation runs on cartilage: the septum first, then the ear, then the rib, and when none of those will do, a piece of donated rib from a tissue bank.
Open versus closed approach
Whether the surgeon opens the nose through a small incision across the columella or works entirely through the nostrils has been argued in print since 1973, was put on facing pages of Plastic and Reconstructive Surgery by Jack Gunter and Jack Sheen in 1997, and was finally pooled in 2025: across twenty studies and 1,067 patients there is no significant difference in what patients report, in breathing, in complications or in swelling.
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