Open structure rhinoplasty the basic technique a detailed description of the basic technique of open structure rhinoplasty is described in this chapter this includes operative steps that are performed in most of our rhinoplasty procedures such as the injection of local anesthetic septal cartilage harvesting skin and mucosal incisions . The techniques of open structure rhinoplasty are ideally suited to manage the tension nose the essence of correction is a deprojection reprojection process first excessive elements of the septal cartilage and anterior nasal spine which comprise what we have termed the nasal pedestal are reduced resulting in tip deprojection. Open rhinoplasty subsequently fell out of favor until padovan sercers student presented his series in the early 1970s reporting the use of the open approach to the septum andersen and wright are generally credited with popularising the open rhinoplasty approach and combining its use with open septoplasty techniques 4 5
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