Ist die geschlossene Rhinoplastik überholt? : 50 Jahre Erfahrung mit der geschlossenen Methode (Übersichten)

Closed rhinoplasty has been performed for over 50 years. Advantages over the open approach lie in the avoidance of unnecessary skin retraction and damage, as well as a better overview during surgery. In addition, transplantations are less frequently required. The present article describes the closed approach to rhinoplasty, including septum correction, hump removal, nasal bridge augmentation and nasal tip reshaping. Additionally, the use of a mastoid composite bone graft in nasal corrections is recommended and described for the first time. By using similar bone types and autologous tissue, particularly natural and well-tolerated results can be achieved.