Contemporary Review of Rhinoplasty

Abstract

We conducted a contemporary review covering advances and trends in primary and functional rhinoplasty as published during the past decade. Specifically, we reviewed studies supporting the evidence for functional rhinoplasty, nasal valve surgery, and septal reconstruction. In addition, key articles discussing cephalic malpositioning of the lower lateral cartilages and tip contouring are reviewed. We also report studies involving lateral osteotomy techniques, computer imaging, and the use of homologous, alloplastic, and absorbable implants. When appropriate, we review outcomes data from key studies because these data are becoming increasingly important for evidence-based medicine, physician grading, and procedure reimbursement. Using evidence-based approaches whenever possible will help to ensure predictable patient outcomes.

Evidence-based studies of rhinoplasty are lacking in the literature. Angelos and coauthors reviewed studies of rhinoplasty, nasal valve surgery, septal reconstruction, cephalic malpositioning, tip contouring, lateral osteotomy techniques, computer imaging, and implant use and evaluated the levels of evidence used.