Closed Approach Rib Revision Rhinoplasty.
14.2% of patients needed further surgery after extended closed rib revision rhinoplasty.
Closed Approach Rib Revision Rhinoplasty.
Revision rhinoplasty remains one of the most challenging procedures due to scar tissue, distorted anatomy, and depletion of septal cartilage.
This study aimed to evaluate the functional and aesthetic outcomes of extended closed rib revision rhinoplasty.
PATIENT SELECTION: This retrospective cohort study included 700 revision rhinoplasty patients treated between 2022 and 2024.
Advanced structural and soft-tissue reconstruction strategies are often required in complex revision cases.
TECHNIQUES: All patients underwent extended closed rhinoplasty with costal cartilage reconstruction.
Tailored grafting and flap techniques were applied according to deformity patterns.
CONCLUSION AND CLINICAL RELEVANCE: Mean SCHNOS total scores improved significantly from 44.2 ± 5.8 to 17.8 ± 6.2 ( p < 0.001).
Mean SCHNOS total scores improved significantly from 44.2 ± 5.8 to 17.8 ± 6.2 ( p < 0.001). The overall revision rate was 14.2%.
Extended closed rib revision rhinoplasty provides a reliable and effective alternative to open approaches in complex revision cases.