gms | German Medical Science

81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

Secondary reconstructive rhinoplasty – our experience

Meeting Abstract

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  • corresponding author Karen Dzhambazov - HNO/MU Plovdiv, Bulgarien
  • Nikoleta Traykova - Radiologie/MU Plovdiv, Bulgarien
  • Ivan Traykov - Plastische Chirurgie/MU Plovdiv, Bulgarien

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod509

doi: 10.3205/10hnod509, urn:nbn:de:0183-10hnod5090

Published: April 22, 2010

© 2010 Dzhambazov et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Introduction: Secondary reconstructive rhinoplasty is one of the most difficult and unpredictable plastic surgery procedures performed.

Methods: Over the past 3 years we present the results of 167 reconstructive rhinoplasty with traumathic ethiology or after unsuccessfully primary aesthetic reconstructions.

Results: In mentioned cases the authors give preference to the open rhinoplasty, admitting use of different operative techniques for reconstruction of extensive nose deformity and its better visualization.

Conclusions: The open rhinoplasty is a generally better approach to revision rhinoplasty because it allows meticulous dissection through scar tissue. For severely deformed tips, this approach also allows more room for suturing and grafting of cartilage.

The open approach provides unrestricted access and visualization, thereby revealing the nasal anatomy and permitting more surgical maneuvers.