{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T01:27:17Z","timestamp":1786498037776,"version":"build-2736575974"},"reference-count":22,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Facial Plast Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Revision rhinoplasty remains one of the most challenging procedures due to scar tissue, distorted anatomy, and depletion of septal cartilage. Advanced structural and soft-tissue reconstruction strategies are often required in complex revision cases. This study aimed to evaluate the functional and aesthetic outcomes of extended closed rib revision rhinoplasty.<\/jats:p>\n                  <jats:p>Patients presented with severe anatomical distortions, including overresected dorsum, short nose with contracted skin envelope, septal or retrocolumellar perforation, columellar necrosis, congenital deformities, and sequelae of artificial graft removal.<\/jats:p>\n                  <jats:p>This retrospective cohort study included 700 revision rhinoplasty patients treated between 2022 and 2024. Inclusion criteria were at least one prior nasal surgery, the need for costal cartilage grafting, and a minimum follow-up of 6 months.<\/jats:p>\n                  <jats:p>All patients underwent extended closed rhinoplasty with costal cartilage reconstruction. Tailored grafting and flap techniques were applied according to deformity patterns. Outcomes were assessed using pre- and postoperative SCHNOS scores, with paired statistical analyses performed (p\u2009&lt;\u20090.05).<\/jats:p>\n                  <jats:p>Mean SCHNOS total scores improved significantly from 44.2\u2009\u00b1\u20095.8 to 17.8\u2009\u00b1\u20096.2 (p\u2009&lt;\u20090.001). The overall revision rate was 14.2%. Extended closed rib revision rhinoplasty provides a reliable and effective alternative to open approaches in complex revision cases.<\/jats:p>","DOI":"10.1055\/a-2927-4470","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:32:46Z","timestamp":1786494766000},"source":"Crossref","is-referenced-by-count":0,"title":["Closed Approach Rib Revision Rhinoplasty"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2148-0723","authenticated-orcid":false,"given":"Sercan","family":"G\u00f6de","sequence":"additional","affiliation":[{"name":"Ege University School of Medicine, Turkey","place":["Izmir"],"department":["Department of Otolaryngology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0427-2882","authenticated-orcid":false,"given":"Veysel","family":"Berber","sequence":"additional","affiliation":[{"name":"Fellow of the European Academy of Facial Plastic Surgery, Turkey","place":["Izmir"],"department":["Department of Otolaryngology"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1055\/s-0038-1654677","article-title":"Functional compromise in the middle vault in the management of revision rhinoplasty","volume":"34","author":"L Wang","year":"2018","journal-title":"Facial Plast Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1046\/j.1365-2273.1998.00133.x","article-title":"Biomaterials in rhinoplasty","volume":"23","author":"H D Vuyk","year":"1998","journal-title":"Clin Otolaryngol Allied Sci"},{"issue":"05","key":"ref3","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1001\/archfaci.2010.62","article-title":"Functional and aesthetic concerns of patients seeking revision rhinoplasty","volume":"12","author":"K Yu","year":"2010","journal-title":"Arch Facial Plast Surg"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1001\/jamafacial.2017.1083","article-title":"The 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) for functional and cosmetic rhinoplasty","volume":"20","author":"S P Moubayed","year":"2018","journal-title":"JAMA Facial Plast Surg"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"1472","DOI":"10.1186\/s40064-016-3166-5","article-title":"Revision rhinoplasty: measurement of patient-reported outcomes and analysis of predictive factors","volume":"5","author":"O L Abbas","year":"2016","journal-title":"Springerplus"},{"issue":"04","key":"ref6","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1055\/s-0039-1693442","article-title":"Turkish validation of the Standardized Cosmesis and Health Nasal Outcomes Survey","volume":"35","author":"S Gode","year":"2019","journal-title":"Facial Plast 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rhinoplasty","volume":"156","author":"L E Ishii","year":"2017","journal-title":"Otolaryngol Head Neck Surg"}],"container-title":["Facial Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2927-4470.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:32:49Z","timestamp":1786494769000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2927-4470"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,11]]},"references-count":22,"URL":"https:\/\/doi.org\/10.1055\/a-2927-4470","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0736-6825","1098-8793"],"issn-type":[{"value":"0736-6825","type":"print"},{"value":"1098-8793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,11]]}}}