The Various Shades of Hybridism in Rhinoplasty: Variations on Dorsal Preservation and Presentation of a Cartilaginous Pushdown Technique

Anastasopoulos G, Grigoriadis G, Karela M, Michailidou A, Troupis T.

What this paper says

The authors identify three meanings of "hybrid rhinoplasty" in the literature and report 75 patients treated with one of them, removing the bony hump while pushing down the intact cartilaginous bridge, with good function and appearance and few recurrences.

Overview

"Hybrid" is used loosely in rhinoplasty. This Greek group reviewed the literature to trace the term and then reported a retrospective cohort of 75 primary rhinoplasty patients treated with a cartilaginous pushdown: complete removal of the bony hump combined with preservation and lowering of the cartilaginous dorsum. Patients were evaluated for function and aesthetic satisfaction.

Sections of note

Literature review identified three distinct entities described as hybridism; variations on dorsal preservation are one of them.
75 primary rhinoplasty patients underwent osseous hump removal plus cartilaginous pushdown.
Results are described as "great functional and aesthetic success" with low complication and recurrence rates; no figures are given in the abstract.
The authors class cartilaginous pushdown as a true hybrid sitting between structural hump removal and full dorsal preservation.

What it means for a patient

A surgeon describing a "hybrid" operation may mean several different things; this paper sorts them out.
Removing the bone and preserving the cartilage is a middle path that, in this series, gave good results.
No numeric outcome data are reported in the abstract, so results cannot be compared with other techniques.

Why this paper matters

It clarifies terminology and reports a mid-sized series of a specific hybrid technique. Limits: retrospective, single group, no comparison arm, no quantitative results in the abstract.

Terms

Hybrid rhinoplasty: any operation mixing structural (resection-and-graft) and preservation steps.
Osseous hump: the bony upper part of a dorsal hump.
Cartilaginous pushdown: lowering the intact cartilage bridge after freeing it, without cutting the cartilage roof.
Middle vault: the cartilaginous middle third of the nose.

Summary written by rhinoplasty.cc from the abstract, 2026-09-08; not medical advice. The authors' own abstract follows.

From the abstract

“The growing interest in preservation techniques gave rise to many variations classified under the term hybrid rhinoplasty. Objectives And Hypotheses: The objective of this study is to specify the various meanings of hybridism in rhinoplasty tracing the term back in time and to present our contemporary practice in the…”

Excerpt; the full abstract is on PubMed.