Power-assisted preservation rhinoplasty: experience in 97 consecutive cases.

[BACKGROUND] Powered tools (PTs) are emerging as effective instruments in preservation rhinoplasty, offering enhanced precision for reshaping both bone and cartilage. This study aims to evaluate clinical outcomes and share key technical aspects from the exclusive use of PTs in dorsal preservation rhinoplasty.

[METHODS] A retrospective analysis was performed on 97 Caucasian patients who underwent primary dorsal preservation rhinoplasty using high-speed diamond burrs, reciprocating rasps, and microsaws between January 2021 and January 2024. Both open and closed approaches were included. Functional and aesthetic outcomes were assessed using the RHINO Scale at 6 and 12 months postoperatively.

[RESULTS] The mean improvement in the RHINO scale for "breathing during sleep" was +0.28 (from 3.87 to 4.15; p = 0.01). Ecchymosis lasted on average 5.6 days in patients <30 years and 6.8 days in older patients. The overall complication rate was 8.5%, with a low revision rate. No major intraoperative complications were observed.

[CONCLUSIONS] Power-assisted preservation rhinoplasty is a safe and effective surgical strategy that provides precise control over dorsal reshaping, even when performed via a closed approach. By offering enhanced surgical control and precision, PTs can be a valid and complementary technology, ensuring optimal outcomes with reduced recovery times. The main limitations of the current study are the absence of a control group and the homogenous Caucasian patient population.,Further studies are encouraged to better define and compare the role of PTs in relation to piezoelectric and traditional techniques.