Comparison of preservation rhinoplasty versus conventional rhinoplasty techniques: a systematic review of aesthetic and functional outcomes - Summary - MDSpire
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Comparison of preservation rhinoplasty versus conventional rhinoplasty techniques: a systematic review of aesthetic and functional outcomes
To systematically compare preservation rhinoplasty and conventional rhinoplasty techniques regarding both aesthetic and functional outcomes, by synthesizing evidence from comparative studies that utilized validated outcome measures, and to evaluate the complication rates, patient selection criteria, and methodological variations influencing results.
Approach:
Methodology: Following PRISMA guidelines, comparative studies were analyzed for aesthetic and functional outcomes using validated tools such as SCHNOS-O, VAS-O, and acoustic rhinometry.
Key Findings:
Preservation rhinoplasty (PR) showed significant improvements in SCHNOS-O scores from 6.65 ± 6.72 to 3.06 ± 4.04 (p < 0.05) and VAS-O scores from 7.15 ± 3.31 to 8.56 ± 2.02 postoperatively.
Complication rates were low for both PR and conventional rhinoplasty (CR), with similar revision rates reported (4/125 for SRT and 5/125 for CR).
Functional outcomes measured by rhinomanometry and acoustic rhinometry indicated no significant difference between PR and CR.
Interpretation:
Current evidence suggests that preservation rhinoplasty may provide safety and functional outcomes comparable to conventional rhinoplasty.
Limitations:
Current evidence is limited by heterogeneity in surgical techniques, outcome measures, and follow-up duration.
Further standardized, multicenter, long-term studies are needed to refine patient selection and surgical decision-making.
Conclusion:
Further research is necessary to fully understand the benefits and limitations of preservation rhinoplasty compared to conventional techniques.
