Journal archive · Nasal tip · Open versus closed approach · 2017
Comparison of Absorbable and Nonabsorbable Sutures in Columellar Incision Closure in Rhinoplasty and Their Effects to Postoperative Scar
Kilavuz AE, Bayram AA, Serin GM.
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.
Nasal tip
Tip surgery is now a support problem rather than a sculpting problem: the septal extension graft holds projection and rotation where the columellar strut loses them (0.2% against 4.7% projection loss at one year), and the current series repair, reposition and reinforce the lower lateral cartilages instead of excising them.
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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