Outcomes and complications of closed vs open rhinoplasty: a systematic review

Abdullah A. Alamri; Abdullah K. Alhashmi Alameer; Ibrahim A. Tawfiq; Dalia Aqeel Alanazi; Sumaya Saad; Shahad Alatoui; Abdullah Khaled Alqahtani; Omar Saad Alghamdi; Hatoun A. Alali; Mohammed Fahad M. Alfehaid

doi:10.24911/IJMDC.51-1729335144

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Review Article
Online Published: 20 Nov 2024

IJMDC. 2024; 8(10): 2897-2902

doi: 10.24911/IJMDC.51-1729335144

Outcomes and complications of closed vs open rhinoplasty: a systematic review

Abdullah A. Alamri, Abdullah K. Alhashmi Alameer, Ibrahim A. Tawfiq, Dalia Aqeel Alanazi, Sumaya Saad, Shahad Alatoui, Abdullah Khaled Alqahtani, Omar Saad Alghamdi, Hatoun A. Alali, Mohammed Fahad M. Alfehaid.

Abstract
This review aimed to comprehensively evaluate and compare the outcomes and complications associated with closed versus open rhinoplasty. It focused on key factors like operative times, post-operative complications, and overall patient satisfaction. A comprehensive computerized search of pertinent databases was carried out to find research that satisfied the requirements for inclusion. To locate relevant studies, PubMed, SCOPUS, Science Direct, Cochrane Library, and Web of Science were all searched. The current analysis included seven studies with a total of 375 patients who underwent rhinoplasty; of which 171 were in the open group and 204 in the closed group. Males comprised less than half of the participants, totaling 168 (44.8%). The comparison between open and closed rhinoplasty revealed that the closed approach generally results in less discomfort, less severe eyelid edema, and reduced periorbital ecchymosis as compared to the open approach. Both methods showed no significant differences in postoperative outcomes such as septocolumellar stitch placement, and functional improvement. The endonasal (closed) technique also demonstrated shorter operational times and lower costs. However, open rhinoplasty showed higher patient satisfaction and a lower reoperation rate, particularly for complex nasal tip conditions. Both open and closed rhinoplasty techniques offer valuable benefits depending on the complexity of the case, with the closed approach excelling in quick recovery and reduced scarring, while the open method provides better precision for complex cases. However, due to the variability in the studies reviewed, the findings remain inconclusive. To conclusively identify whether the approach is best, more study is required.

Key words: Rhinoplasty, open technique, closed technique, outcomes, systematic review

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Pubmed Style

Alamri AA, Alameer AKA, Tawfiq IA, Alanazi DA, Saad S, Alatoui S, Alqahtani AK, Alghamdi OS, Alali HA, Alfehaid MFM. Outcomes and complications of closed vs open rhinoplasty: a systematic review. IJMDC. 2024; 8(10): 2897-2902. doi:10.24911/IJMDC.51-1729335144

Web Style

Alamri AA, Alameer AKA, Tawfiq IA, Alanazi DA, Saad S, Alatoui S, Alqahtani AK, Alghamdi OS, Alali HA, Alfehaid MFM. Outcomes and complications of closed vs open rhinoplasty: a systematic review. https://www.ijmdc.com/?mno=225248 [Access: March 17, 2025]. doi:10.24911/IJMDC.51-1729335144

AMA (American Medical Association) Style

Alamri AA, Alameer AKA, Tawfiq IA, Alanazi DA, Saad S, Alatoui S, Alqahtani AK, Alghamdi OS, Alali HA, Alfehaid MFM. Outcomes and complications of closed vs open rhinoplasty: a systematic review. IJMDC. 2024; 8(10): 2897-2902. doi:10.24911/IJMDC.51-1729335144

Vancouver/ICMJE Style

Alamri AA, Alameer AKA, Tawfiq IA, Alanazi DA, Saad S, Alatoui S, Alqahtani AK, Alghamdi OS, Alali HA, Alfehaid MFM. Outcomes and complications of closed vs open rhinoplasty: a systematic review. IJMDC. (2024), [cited March 17, 2025]; 8(10): 2897-2902. doi:10.24911/IJMDC.51-1729335144

Harvard Style

Alamri, A. A., Alameer, . A. K. A., Tawfiq, . I. A., Alanazi, . D. A., Saad, . S., Alatoui, . S., Alqahtani, . A. K., Alghamdi, . O. S., Alali, . H. A. & Alfehaid, . M. F. M. (2024) Outcomes and complications of closed vs open rhinoplasty: a systematic review. IJMDC, 8 (10), 2897-2902. doi:10.24911/IJMDC.51-1729335144

Turabian Style

Alamri, Abdullah A., Abdullah K. Alhashmi Alameer, Ibrahim A. Tawfiq, Dalia Aqeel Alanazi, Sumaya Saad, Shahad Alatoui, Abdullah Khaled Alqahtani, Omar Saad Alghamdi, Hatoun A. Alali, and Mohammed Fahad M. Alfehaid. 2024. Outcomes and complications of closed vs open rhinoplasty: a systematic review. International Journal of Medicine in Developing Countries, 8 (10), 2897-2902. doi:10.24911/IJMDC.51-1729335144

Chicago Style

Alamri, Abdullah A., Abdullah K. Alhashmi Alameer, Ibrahim A. Tawfiq, Dalia Aqeel Alanazi, Sumaya Saad, Shahad Alatoui, Abdullah Khaled Alqahtani, Omar Saad Alghamdi, Hatoun A. Alali, and Mohammed Fahad M. Alfehaid. "Outcomes and complications of closed vs open rhinoplasty: a systematic review." International Journal of Medicine in Developing Countries 8 (2024), 2897-2902. doi:10.24911/IJMDC.51-1729335144

MLA (The Modern Language Association) Style

Alamri, Abdullah A., Abdullah K. Alhashmi Alameer, Ibrahim A. Tawfiq, Dalia Aqeel Alanazi, Sumaya Saad, Shahad Alatoui, Abdullah Khaled Alqahtani, Omar Saad Alghamdi, Hatoun A. Alali, and Mohammed Fahad M. Alfehaid. "Outcomes and complications of closed vs open rhinoplasty: a systematic review." International Journal of Medicine in Developing Countries 8.10 (2024), 2897-2902. Print. doi:10.24911/IJMDC.51-1729335144

APA (American Psychological Association) Style

Alamri, A. A., Alameer, . A. K. A., Tawfiq, . I. A., Alanazi, . D. A., Saad, . S., Alatoui, . S., Alqahtani, . A. K., Alghamdi, . O. S., Alali, . H. A. & Alfehaid, . M. F. M. (2024) Outcomes and complications of closed vs open rhinoplasty: a systematic review. International Journal of Medicine in Developing Countries, 8 (10), 2897-2902. doi:10.24911/IJMDC.51-1729335144

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