WORLD JOURNAL OF PLASTIC SURGERY
مجله جهانی جراحی پلاستیک
WJPS
Medical Sciences
http://wjps.ir
1
admin
2228-7914
2252-0724
8
10.61186/wjps
14
8888
13
en
jalali
1399
6
1
gregorian
2020
9
1
9
3
online
1
fulltext
en
Comparison of Double Lateral Osteotomy and Asymmetric Dorsal Hump Reduction in Correction of Crooked Nose
عمومى
General
مقالات اصيل
Original Article
BACKGROUND<br>
Several methods have been introduced to correct crooked nose during rhinoplasty. This study aimed to compare the final shape of nasal pyramid as well as patients’ satisfaction of the outcomes in two different rhinoplasty techniques. <br>
METHODS <br>
Participants in this study underwent rhinoplasty with two different techniques of double lateral osteotomy in comparison with asymmetric dorsal hump reduction using rasp. Ninety patients were allocated in two groups by a quadruple block randomization. Patients were compared for the correction of nasal deviation 6 and 12 months after surgery. Their self-rated satisfaction with rhinoplasty outcome was also assessed using a researcher-made questionnaire.<br>
RESULTS <br>
Crooked nose correction was performed in 45 patients in each surgery group. Primarily, the mean of nasal deviation in two study groups were relatively similar (159.83±22.37 degree in C-shaped group vs. 11.79±4.98 degree in I-shaped group). The changes in degree of deviation after rhinoplasty were statistically significant in both intervention groups. However, based on the shape of nasal curvature, double lateral osteotomy was superior in long term follow up in I-shaped curvatures. Patients’ post-operative satisfaction with their nasal appearance was higher in the group of double lateral osteotomy and they were less interested in re-surgery.<br>
CONCLUSION<br>
The two rhinoplasty techniques were not statistically different in terms of changes in nasal deviations correction after the surgery. However, long term changes in I-shaped curvatures were more desirable in group of double lateral osteotomy. Use of double lateral osteotomy was associated with better satisfactory aesthetic outcomes among study participants.<br>
Crooked nose, Rhinoplasty, Osteotomy, Nasal septum, Hump reduction
290
295
http://wjps.ir/browse.php?a_code=A-10-608-1&slc_lang=en&sid=1
Ali
Goljanian Tabrizi
ali.goljanian@gmail.com
10031947532846009358
10031947532846009358
No
Department of Otorhinolaryngology, Head and Neck Surgery, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Matin
Ghazizadeh
matinghazizadeh@hotmail.com
10031947532846009359
10031947532846009359
No
Department of Otorhinolaryngology, Head and Neck Surgery, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Behrouz
Barati
b_barati@sbmu.ac.ir
10031947532846009360
10031947532846009360
No
Department of Otorhinolaryngology, Head and Neck Surgery, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Sara
Nouri
nouri.sara@yahoo.com
10031947532846009361
10031947532846009361
Yes
Department of Otorhinolaryngology, Head and Neck Surgery, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran