ABSTRACT
Background: Rhinoplasty is a surgical procedure used to reconstruct nasal structures for cosmetic and functional purposes. Modern rhinoplasty surgery can be performed by one of two different approaches, the open or the closed rhinoplasty. However, the preferred method is still a subject for debate. We aimed in this study to compare the outcomes of open versus closed rhinoplasty.
Patients and Methods: This is a prospective study included 50 patients divided into two groups according to the approach of rhinoplasty performed. Group A (25 patients) underwent open rhinoplasty, while group B (25 patients) underwent closed rhinoplasty. The outcomes are studied for advantages and limitations of each. Cosmetic outcome was evaluated by the Rhinoplasty Outcome Evaluation (ROE) questionnaire.
Results: No significant difference was noted in ROE scores when comparing between rhinoplasty groups (open vs. closed) at the same specific study visit, with p value = 0.872, 0.624 and 0.764 at preoperatively, one month postoperatively, and 6 months post-operatively respectively.
Conclusion: Although the closed rhinoplasty group has less operative time, less amount of intraoperative bleeding and less periorbital edoema, there was significant improvement in the cosmetic state compared in both groups and no significant difference occurred in improvement between the two groups.
Key words: Open, Closed, Endonasal, External Rhinoplasty.