chapter  82
External rhinoplasty
Pages 18

INTRODUCTION The external or open approach is a firmly established and important technique in rhinoplasty surgery. Its key advantage over endonasal approaches is to afford the ability to assess anatomical deformities by direct inspection of the nasal cartilaginous and bony framework. This in turn allows for easier bimanual sculpturing of the underlying skeletal components and application of sutures and grafts under direct vision. While not an indication for the external approach, there is also a definite advantage for teaching where trainees are able to visualize surgical techniques with ease and these may also be captured satisfactorily with video and photography without the overlying skin and soft-tissue envelope hindering the view.