The following table shows a comparisons between close and open rhinoplasty:
| PARAMETER | CLOSE RHINOPLASTY | OPEN RHINOPLASTY |
|---|---|---|
| Visualization | Limited: most aspect of surgery is a blind procedure | Excellent: an exposure is extensive which allows: -Binocular vision -Use of both hands -Good control of bleeding -Precise placement and surturing of struts, batten and shield graft. -Useful in teaching |
| Visibility of scar (columella) | The incision is endonasal so not visible | The incision involved result in scar across the columella |
| Surgical time and exposure to anaesthetic agents | Less | More |
| Post operative swelling and healing | Better circulation to skin of nasal tip and no disruption of natural drainage of columella and skin so there is less swelling and heals faster | Incision in columella disrupts the circulation of skin so there is more swelling and healing is slow. |
| Ability to sculpt the nose | Moderate- so only useful for minor deformity | Excellent- so recommended for following: - Cleft tip nose -Revision surgery -Severe nasal trauma -Elaborated reduction, augmentation procedure -Marked tip deformity - The need for extra tip rotation - Correction of external over projection -situation where assessment of exact pathology is difficult. - Extended aplication: *Nasal septal perforation repair *Nasal dermoid removal * Approach to hypophysectomy |
Protection