Prevention of Nasal Deviation Related to Preservation Rhinoplasty in Non-deviated Noses using Suturing Approaches

Öztürk G.

What this paper says

In 43 patients with a hump but a straight septum, new figure of eight and loop sutures were used during preservation rhinoplasty, and median satisfaction scores rose from 60.6 before surgery to 90.8 at one year.

Overview

Dorsal preservation lowers the natural bridge rather than removing the hump. The author states that in patients who had a hump but no septal deviation, the surgery itself can cause the nose to deviate. The study describes suturing techniques intended to prevent that, and reports outcomes in patients selected for having a hump without a pre existing crooked nose.

Sections of note

Case series of 43 patients; the journal assigns level of evidence IV.
Only patients with a nasal hump and no nasal deviation deformity were included.
All patients completed the Rhinoplasty Outcome Evaluation questionnaire before surgery and at the one year follow up.
The new suturing approaches assessed were described as figure of eight shaped and loop sutures.
Median score before surgery was 60.6 and median score at one year was 90.8.
The increase was statistically significant, P less than 0.001.
Patient satisfaction was rated excellent in 90.47 percent of patients.
The author states further studies are needed to confirm these preliminary results.

What it means for a patient

A straight nose can become crooked after preservation surgery because the whole framework is repositioned rather than trimmed.
The sutures described are intended to hold the framework centred while it settles.
There was no control group operated on without the sutures, so the deviation prevention claim is not directly tested.
Forty three patients from a single surgeon with one year follow up is preliminary evidence, as the author states.

Why this paper matters

Post surgical deviation is one of the recognized failure modes of dorsal preservation and is harder to accept in a patient whose nose was straight before. This paper proposes a fixation solution and reports satisfaction after it. Whether the sutures actually reduce deviation rates has not been shown.

Terms

Dorsal preservation: lowering the natural nasal bridge instead of cutting the hump off.
Nasal deviation: the nose bending to one side rather than running straight.
Septal deviation: the central nasal partition being bent to one side.
Push down and let down: two ways of lowering the nasal framework.
Rhinoplasty Outcome Evaluation: a satisfaction questionnaire scored out of 100.

Summary written by rhinoplasty.cc from the abstract, 2026-09-09; not medical advice. The authors' own abstract follows.

From the abstract

“Rhinoplasty is one of the most common aesthetic surgeries, and dorsal hump reduction surgery is the most commonly applied type of surgery in Western countries. Every patient should be considered challenging based on the negative outcomes of this surgical procedure. Thus, aesthetic and plastic surgeons attempt to…”

Excerpt; the full abstract is on PubMed.