[Enlarged marginal incision in rhinoplasty: an anatomic and clinic study].

OBJECTIVE: This study is an evaluation of technical feasibility and clinical results of the wide marginal rhinoplasty. MATERIALS AND METHODS: A wide marginal approach has been used in remodeling and positioning cartilage grafts in 13 cadavers. The clinical study was focused on 20 patients with aesthetics indications and no functional need. The practise was a work on the dorsum, the tip, resections of alar and cartilage graft positioning. We investigated the feasibility of different procedures, quality of exposure and we have identified the problems and incidents of dissection. In additional a subjective evaluation of patient satisfaction and a 6 to 15 months photographic follow up were performed. RESULTS: The operative incidents and problems were similar in anatomic and clinical study. Our study found an excellent technical feasibility with an easy job in the lateral areas and more difficult in median area. CONCLUSION: Wide marginal approach in rhinoplasty doesn't substitute open rhinoplasty but can be used in specific indications.