Ligaments’ preservation in Open Rhinoplasty: Prospective analysis

In open rhinoplasty technique, the soft tissue and ligaments are vulnerable to injury. Routine reconstruction of the ligaments usually has little attention by the surgeons. to assess the effect of preservation of nasal ligaments; Scroll ligament, Septo-columellar ligament and Pitanguy's ligament in open approach rhinoplasty. Prospective Cohort study on 32 patients underwent open rhinoplasty with ligaments' preservation after precise meticulous training on 5 Cadavers. All patients have better aesthetic and functional outcome with long lasting preservation of tip projection as well as the same results in early postoperative period. No patient needed secondary revision surgery due to tip dropping or malrotation. The objective findings and subjective assessments were satisfying for the patients and surgeons. Refinements of nasal surgery have no limits. Study Suggests that nasal ligaments reconstruction; Scroll ligament, Septo-columellar ligament and Pitanguy's ligament could maintain nasal tip projection and rotation for long time.