Global Practice Patterns of Dorsal Preservation Rhinoplasty Publisher Pubmed



Patel PN¹ ; Kandathil CK² ; Buba CM³ ; Neves JC⁴ ; Cobo R⁵ ; Robotti E⁶ ; Lopezulloa F⁷ ; Ferraz M⁸ ; Saedi B⁹ ; Pham T¹⁰ ; Saleh HA¹¹ ; Most SP²
Source: Facial Plastic Surgery and Aesthetic Medicine Published:2022

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. © 2022, American Academy of Facial Plastic and Reconstructive Surgery, Inc.