Correction of Severe Deviated Nose by Intermediate Short Osteotomy.
Crooked nose
Deviated nose
Osteotomy
Rhinoplasty
Journal
World journal of plastic surgery
ISSN: 2228-7914
Titre abrégé: World J Plast Surg
Pays: Iran
ID NLM: 101639130
Informations de publication
Date de publication:
May 2019
May 2019
Historique:
entrez:
17
7
2019
pubmed:
17
7
2019
medline:
17
7
2019
Statut:
ppublish
Résumé
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. 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. Of all 11 cases, 6 (54.5%) were accepted as excellent, 4 (36.4%) as good, and 1 (9%) as no change. 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.
Sections du résumé
BACKGROUND
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
METHODS
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
RESULTS
Of all 11 cases, 6 (54.5%) were accepted as excellent, 4 (36.4%) as good, and 1 (9%) as no change.
CONCLUSION
CONCLUSIONS
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.
Identifiants
pubmed: 31309058
doi: 10.29252/wjps.8.2.208
pmc: PMC6620807
doi:
Types de publication
Journal Article
Langues
eng
Pagination
208-212Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
Références
Arch Facial Plast Surg. 2004 Jul-Aug;6(4):263-6
pubmed: 15262722
Aesthetic Plast Surg. 2004 Jul-Aug;28(4):203-7
pubmed: 15599531
Rhinology. 2008 Mar;46(1):56-61
pubmed: 18444494
Ann Plast Surg. 2010 Nov;65(5):451-4
pubmed: 20948426
Facial Plast Surg. 2011 Oct;27(5):456-66
pubmed: 22028010
Oral Maxillofac Surg Clin North Am. 2012 Feb;24(1):95-107
pubmed: 22284400
Otolaryngol Head Neck Surg. 2012 May;146(5):712-5
pubmed: 22371348
Curr Opin Otolaryngol Head Neck Surg. 2013 Aug;21(4):379-83
pubmed: 23838549
Clin Plast Surg. 2016 Jan;43(1):99-113
pubmed: 26616699
World J Plast Surg. 2016 Sep;5(3):236-243
pubmed: 27853686