RESUMO
The development of power instruments has led to great advances in rhinoplasty. It has helped to reduce operating time, minimize damage to the surrounding soft tissues, and allow precision bony modification compared with the use of manual rasps. Burrs help ensure precise results by (i) creating a smooth transition between the lateral nasal sidewall and the face, (ii) treating bony asymmetries, and (iii) producing homogeneous upper and middle thirds that softy translate into the upper lateral cartilages. The aim of this paper is to show applications of cylindrical burrs in rhinoplasty surgery to treat the dorsal upper and middle thirds as well as lateral sidewalls of the nose, regardless of whether the dorsal preservation or structure technique is used. This approach offers a safe, fast, and precise technique that can be used in conjunction with piezo osteotomy to obtain the optimal outcomes.
RESUMO
Controversies in Preservation Rhinoplasty" explores the nuanced indications, techniques, and challenges in preservation rhinoplasty (PR), featuring contributions from JC Neves, D Toriumi, and A Göksel. Neves recounts his early career under Wilson Dewes and describes the evolution of PR techniques. Toriumi, having started PR in 2019, discusses his initial cautious approach and subsequent expansion to include patients with more diverse nasal deformities. Göksel highlights the critical role of surgical expertise and individualized patient assessment, advocating for methods like dorsum-plasty osteotomies and the Ballerina maneuver to enhance PR's effectiveness.