{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T17:24:04Z","timestamp":1793813044899,"version":"4.6.1"},"reference-count":20,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215125104052_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aimed to systematically review the evidence on functional outcomes following dorsal preservation rhinoplasty, with a focus on nasal obstruction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104052_sec2b\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review was conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. PubMed, Embase, Scopus and Cochrane databases were searched up to March 2025. Studies reporting nasal airway outcomes following dorsal preservation rhinoplasty using subjective or objective measures were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104052_sec3c\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six studies comprising 662 patients were included. Patient-reported outcomes (Nasal Obstruction Symptom Evaluation, Standardized Cosmesis and Health Nasal Outcomes Survey and Visual Analogue Scale) consistently demonstrated significant post-operative improvement. Objective measures (acoustic rhinometry, rhinomanometry and cone-beam computed tomography) showed maintained or improved airway dimensions. dorsal preservation rhinoplasty was functionally equivalent to traditional structural techniques, with low complication (&lt;5 per cent) and revision rates (&lt;2 per cent).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215125104052_sec4d\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Dorsal preservation rhinoplasty maintains or improves nasal airway function while preserving structural integrity and reducing the need for grafting. It is a safe and effective alternative to traditional dorsal reduction techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215125104052","type":"journal-article","created":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T13:50:09Z","timestamp":1766411409000},"page":"132-136","source":"Crossref","is-referenced-by-count":1,"title":["Does Dorsal Preservation Rhinoplasty Preserve Nasal Airway Function? A Systematic Review"],"prefix":"10.1017","volume":"140","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4051-3882","authenticated-orcid":false,"given":"Niall James","family":"McInerney","sequence":"first","affiliation":[{"name":"Mater Misericordiae University Hospital"},{"name":"Royal College of Surgeons in Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack","family":"Eustace","sequence":"additional","affiliation":[{"name":"University College Dublin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Amin","sequence":"additional","affiliation":[{"name":"Mater Misericordiae University Hospital"},{"name":"University College Dublin"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,12,22]]},"reference":[{"key":"S0022215125104052_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2021.07.009"},{"key":"S0022215125104052_ref10","first-page":"119","article-title":"Corrective surgery of the external nasal pyramid and the nasal septum for restoration of normal physiology","volume":"90","author":"Cottle","year":"1946","journal-title":"Ill Med J"},{"key":"S0022215125104052_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2021.07.011"},{"key":"S0022215125104052_ref12","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjae038"},{"key":"S0022215125104052_ref19","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1055\/s-0040-1714268","article-title":"Patient satisfaction following structural versus preservation rhinoplasty: a systematic review","volume":"36","author":"Levin","year":"2020","journal-title":"Facial Plast Surg"},{"key":"S0022215125104052_ref6","doi-asserted-by":"publisher","DOI":"10.1089\/fpsam.2019.29007.won"},{"key":"S0022215125104052_ref8","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjx180"},{"key":"S0022215125104052_ref5","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1055\/s-0032-1312696","article-title":"Avoiding complications of the middle vault in rhinoplasty","volume":"28","author":"Pearlman","year":"2012","journal-title":"Facial Plast Surg"},{"key":"S0022215125104052_ref9","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1055\/s-0041-1723827","article-title":"Guidelines for dorsum preservation in primary rhinoplasty","volume":"37","author":"Saban","year":"2021","journal-title":"Facial Plast Surg"},{"key":"S0022215125104052_ref18","doi-asserted-by":"publisher","DOI":"10.1007\/s00266-025-04828-6"},{"key":"S0022215125104052_ref13","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-024-08546-8"},{"key":"S0022215125104052_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.fsc.2022.08.008"},{"key":"S0022215125104052_ref1","unstructured":"1 American Society of Plastic Surgeons. 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