Surgical Algorithms in Rhinoplasty: A Scoping Review of the Current Status

Background Algorithms define a sequence to approaching a subject. This study represents a scoping review seeking to define the role of surgical algorithms in rhinoplasty. Methods A scoping review was conducted. Pubmed/MEDLINE, Web of Science, and Google Scholar, as well as a citation searching was p...

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Bibliographic Details
Published in:Aesthetic plastic surgery 2021-12, Vol.45 (6), p.2869-2877
Main Authors: Çelikoyar, M. Mazhar, Nickas, Brandon, Dobratz, Eric, Topsakal, Oguzhan
Format: Article
Language:English
Subjects:
Adolescent
Algorithms
Decision making
Humans
Medicine
Medicine & Public Health
Nose - surgery
Otolaryngology
Otorhinolaryngology
Patients
Plastic Surgery
Review
Rhinoplasty
Treatment Outcome
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Summary:Background Algorithms define a sequence to approaching a subject. This study represents a scoping review seeking to define the role of surgical algorithms in rhinoplasty. Methods A scoping review was conducted. Pubmed/MEDLINE, Web of Science, and Google Scholar, as well as a citation searching was performed to find eligible studies for review. Eligibility criteria included studies published in English, human subjects ≥ 15 years old, and all included surgical algorithms were for primary cosmetic rhinoplasty. Results In total, 514 studies included the key search terms. Thirty-nine studies were evaluated for data extraction. The majority of the algorithms were from USA-based publications (22/39). Flow-chart type algorithm was used in 23 and text-based algorithms in 15 of the 39 studies. Algorithms related to tip shape and/or position were most frequent (19/39), followed by those for crooked nose and dorsal height. Only 7 of the algorithms described outcomes for utilizing the algorithm. Conclusions Very few surgical algorithms have been published for cosmetic rhinoplasty. A minority of these studies have published outcomes. This study provides a description and summary of these algorithms and also shows that future studies could be done to further develop surgical algorithms for rhinoplasty and evaluate outcomes. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com
ISSN:0364-216X
1432-5241
DOI:10.1007/s00266-021-02337-w