SPQR rhinoplasty

The SPQR (Subperichondrial/ Subperiosteal/ Preservation/ Quick Recovery) technique is a modern approach in preservation rhinoplasty designed to enhance both aesthetic and functional outcomes while ensuring a quicker and more comfortable recovery for the patient. Here’s a detailed overview of the SPQR technique:

Components of the SPQR Technique:

1. Subperichondrial Dissection:
   • This involves carefully dissecting beneath the perichondrium, which is the layer of connective tissue that covers the cartilage. By working in this plane, the surgeon can preserve the integrity and blood supply of the cartilage, leading to better healing and stability.
2. Subperiosteal Dissection:
   • Similarly, this technique involves dissecting beneath the periosteum, the layer of connective tissue that covers the bone. This allows for precise modifications to the bony structures of the nose while maintaining their structural support and vascular supply.
3. Preservation of Nasal Structures:
   • The core principle of the SPQR technique is to preserve as much of the patient’s natural nasal anatomy as possible. This includes maintaining the dorsal lines, cartilage, and bone structure, rather than removing and reconstructing them extensively.
4. Quick Recovery:
   • By minimising the extent of tissue disruption and preserving the natural anatomy, the SPQR technique aims to reduce postoperative swelling, bruising, and discomfort, leading to a faster recovery period for the patient.

Advantages of the SPQR Technique:

• Natural Results: Preserving the natural anatomy helps achieve more harmonious and natural-looking outcomes.
• Improved Nasal Function: By maintaining the structural integrity of the nose, there is a lower risk of postoperative functional issues, such as breathing difficulties.
• Less Invasive: The technique is less invasive compared to traditional rhinoplasty methods, resulting in reduced trauma to the nasal tissues.
• Faster Recovery: Patients often experience quicker recovery times due to the minimised disruption of tissues and reduced need for extensive reconstructive work.

Application of the SPQR Technique:

• Dorsal Preservation: Instead of removing the nasal dorsum (the bridge of the nose), the surgeon uses techniques to lower or reshape it while keeping the original structures intact.
• Tip Refinement: The nasal tip is refined by repositioning and reshaping the existing cartilage rather than excising and grafting new materials.
• Bone and Cartilage Repositioning: Bones and cartilage are modified and repositioned to achieve the desired shape, rather than being extensively removed and replaced.

The SPQR technique represents a significant advancement in rhinoplasty, focusing on preserving the natural form and function of the nose, thus promoting better long-term outcomes and patient satisfaction.