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Correction of Severe Deviated Nose by Intermediate Short Osteotomy
Rohollah Abbasi, Ali Dowlati, Mohamad Reza Seif Rebiei, Farnaz Hashemian
Department of Ear-Nose-Throat Surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Abstract:   (239 Views)
BACKGROUND
The deviated nose is a common deformity encountered in rhinoplasty, and yet it is the most challenging pathology to treat, because multiple internal and external structures have deformity, so there is a need to be corrected. 
METHODES
The intermediate short osteotomy has been applied as a technique to correct severe nasal bony deviations. Eleven patients with severe deviated nose who had been operated by the senior author from 2013 through 2016 were included in the study (follow-up period of 6-24 month). Intermediate short osteotomy was performed after medial and before lateral osteotomy. Surgical outcomes were assessed by another otolaryngologist based on review of pre- and post-operative (6 to 24 months after surgery) photographs. The post-operative outcome in terms of deviation correction was classified as excellent, good, fair, or no change.
RESULTS
Of all 11 cases, 6 (54.5%) were accepted as excellent, 4 (36.4%) as good, and 1 (9%) as no change.
CONCLUSION
Intermediate short osteotomy can be considered as a modification of intermediate osteotomy that eliminates nasal dorsal deviation more completely. This osteotomy is very simple and need only 1 to 2 minutes and use of this method is recommended for correction of severe deviated bony noses.
Keywords: Deviated nose, Crooked nose, Rhinoplasty, Osteotomy
Full-Text [PDF 1229 kb]   (103 Downloads)    
Type of Study: Original Article | Subject: Special
Received: 2018/06/25 | Accepted: 2019/03/2


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