Partial Let-Down and Push-Down Techniques With Complete Cartilage Preservation.

Abstract

Dorsal hump reduction is one of most commonly performed operations among Caucasian patients because of their nose anatomy. Dorsal preservation techniques in hump reduction are highly favorable, and recent studies have focused on dorsal preservation techniques. In the present research, the authors describe novel approaches for the push-down and let-down techniques in which the cartilage is totally preserved. According to the inclusion and exclusion criteria, the records of 48 patients were assessed (40 females and 8 males). Twenty-seven partial modificated push-down and 21 partial let-down techniques were performed. Participants completed the ROE questionnaire before surgery and at their 1-year follow-up control. The ROE scores before and 1 year after surgery were compared. The median ROE score was 60.0 points before surgery and 93.6 points 1 year after surgery. The ROE score was increased significantly (P < 0.001). A total of 92% of the included patients reported excellent satisfaction with the surgical outcome (ROE score > 85). The present study is the first to show total cartilage preservation with let-down and push-down techniques. These approaches are easy to perform and will lead to better cosmetic results in clinical settings.