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The Comparison of Open Septorhinoplasty Methods with or without Osteotomies Performed in Situations of Traumatic Nasal Deformation

Year 2015, Volume: 40 Issue: 4, 738 - 745, 02.10.2015
https://doi.org/10.17826/cutf.22407

Abstract

Purpose: The aim in this study is to compare the functional results of open septorhinoplasty with and without osteotomies performed with the aim of increasing respiratory functions and healing the deformations in patients with traumatic nasal deformations. Material and Methods: In this prospective and clinical study, 26 patients with traumatic nasal deformation, who applied between 2007 and 2009 were analyzed. The physical examination, medical photographies, the findings of periorbital edema and ecchymosis and changes in respiratory behaviors before and after the operation were recorded. Evident irregularities of nasal dorsum, septum deviation and respiratory distress were identified in all of the patients. Open septorhinoplasty with osteotomy (13 patients – 50 %) and without osteotomy (13 patients – 50 %) were applied to a total of 26 patients. Osteotomy decision was given according to nasal dorsal width and nasal height. All the patients were controlled in the in the first, third, sixth and twelfth months of the postoperative period to analyze the results. The data gathered through these cases were compared with the literature. Results: Functional improvements were observed after open septorhinoplasty operations in all patients. When the postoperative results of the open septorhinoplasty operations with and without osteotomy are compared, it was observed that among the group of patients on which osteotomies were not practiced respiratory complaints improved better, stricture in the nasal passage was not caused, edema and ecchymosis in the postoperative period was lesser. Conclusion: In this study, the attempt was to prove that although open septorhinoplasty operations are classically performed with osteotomy, the operations without osteotomy has not cause stricture in the nasal passage, it causes less edema and ecchymosis in the postoperative period compared to the group with osteotomy. It is an acceptable procedure for patients chosen in the preoperative period through a detailed preliminary work

References

  • Rohrich RJ, Adams W. Nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg. 2000;106:266-73.
  • Toriumi DM, Ries WR. İnnovative surgical
  • management of the crooked nose deformity. Facial Plast Surg Clin. 1993;1:63-8.
  • Friedman M, Ibrahim H, Syed Z. Nasal valve suspension: an improved, simplified technique for nasal valve collapse. Laryngoscope. 2003;113:381-5.
  • O’Neal RM, Izemberg P, Schlesinger J. Surgical anatomy of the nose. Clin Plast Surg. 1996;23:195- 201.
  • Rollin K.D. Rhinoplasty. An atlas of surgical techniques.1st ed.,China:Springer. 2002;27.
  • Howard B, Rohrich RJ. Understanding the Nasal Airway: Principles and Practice. Plast Reconstr Surg. 2002;109:1128-46.
  • Wittkopf M, Wittkopf JR, Russell W .The diagnosis and treatment of nasal valve collapse. Otolaryngol Head Neck Surg. 2008;16:10–3.
  • Guyuron B. Nasal Osteotomy and Airway Changes. Plast Reconstr Surg. 1998;102:856-60.
  • Rohrich RJ, Muzaffar AR, Janis JE. Component Dorsal Hump Reduction: The Importance of Maintaining Dorsal Aesthetic Lines in Rhinoplasty. Plast Reconstr Surg. 2004;114:1298-308. Altunyazar C. Effects of Steroids on Edema, Ecchymosis, and İntraoperative Bleeding in Rhinoplasty. Ann Plast Surg. 2003;51:570-4.
  • Hossam MT, Foda MD. The rol of Septal Surgery in Management of the Deviated Nose. Plast Reconstr Surg. 2005;115:406-15.
  • Higuera S, Lee EI, Cole P, Hollier LH, Stal S. Nasal Trauma and Deviated Nose. Plast Reconst Surg. 2007;120:645-55.
  • Totonchi A, Guyuron B. A Randomized, Controlled Comparison between Arnica and Steroids in the Management of Postrhinoplasty Ecchymosis and Edema. Plast Reconstr Surg. 2007;120:271-4.
  • Michael JK, Ham J, Fechner F, Constantinides M. Quantitative analysis of lateral osteotomies in rhinoplasty. Arch Facial Plast Surg. 2006;8:369-73.
  • Toriumi DM. Nasal osteotomy and airway changes. Plast Reconst Surg. 1998;102:861-3.
  • Courtiss EH, Goldwyn RM. The effects of nasal surgery on airflow. Plast Reconst Surg. 1983;72:9-21.
  • Camirand A, Douced J, Haris J. Nose Surgery: How to prevent a middle vault collapse- A review of 50 patients 3 to 21 years. Plast Reconst Surg. 2004;114:527-34.
  • McKee GJ,O’Neill G,Roberts C, Lesser TH. Nasal airflow after septorhinoplasty. Clin Otolaryngol. 1994;19:254-8.
  • Godley FA, Nemeroff RF, Josephson JS. Current trends in rhinoplasty and the nasal airway. Med Clin North Am. 1993;77:643-56.
  • Sheen JH, Sheen AP. Aesthetic Rhinoplasty,2 nd ed. St Louis:QMP. 1998;216-9.
  • Rhee JS, Poetker DM, Smith TL, Bustillo A, Burzynski M, Davis RE. Nasal Valve Surgery Improves Disease-Specific Quality of Life. Laryngoscope. 2005;15:437-40.
  • Teichgraeber JF, Wainwright DJ. The treatment of nasal valve obstruction. Plast Reconstr Surg. 1994;93:1174-84.
  • Kara, CO, Gökalan İ. Effects of Single-Dose Steroid Usage on Edema, Ecchymosis, and İntraoperative Bleeding in Rhinoplasty. Plast Reconstr Surg. 1999;104:2213-18.
  • Arslan E. No osteotomy rhinoplasty: indications and surgical details. Aesthetic Plast Surg. 2014;38:57-62.
  • Duron JB, Jallut Y, Nguyen PS, Aiach G, Bardot J. Osteotomies in rhinoplasty. Ann Chir Plast Esthet. 2014;59:418-23.

Travmatik Nazal Deformasyonu Olan Olgularda Uygulanan Osteotomili ve Osteotomisiz Açık Septorinoplasti Yöntemlerinin Karşılaştırılması

Year 2015, Volume: 40 Issue: 4, 738 - 745, 02.10.2015
https://doi.org/10.17826/cutf.22407

Abstract

Amaç: Bu çalışmanın amacı, travmatik nazal deformasyonlu hastalarda, solunum fonksiyonlarını arttırmak ve deformasyonu düzeltmek amaçlı uygulanan osteotomili ve osteotomisiz açık septorinoplasti yöntemlerinin, fonksiyonel sonuçlarının karşılaştırılmasıdır. Materyal ve Metod: Prospektif ve klinik olarak planlanan bu çalışmada, 2007-2009 yılları arasında travmatik nazal deformasyon şikayetiyle başvuran 26 hasta çalışmaya dahil edildi. Hastaların ameliyat öncesi ve sonrası fizik muayeneleri, fotoğraf kayıtları, periorbital ödem ve ekimoz bulguları ve solunum değişimleri kaydedildi. Hastalarda belirgin nazal dorsum düzensizliği, septum deviasyonu ve solunum zorluğu olduğu tespit edildi. 13 hastaya (% 50) osteotomili, 13 hastaya (% 50) osteotomisiz açık septorinoplasti uygulandı. Osteotomi yapma kararı, nazal dorsum genişliğine ve burun uzunluk ölçümlerine göre verildi. Hastalar postoperatif 1, 3, 6 ve 12 aylık dönemlerde sonuçların değerlendirilmesi amacıyla kontrollere alındı. Bulgular: Operasyonlar sonrası tüm hastalarda fonksiyonel olarak iyileşme saptandı.Osteotomisiz grupta osteotomili gruba göre solunum şikayetlerindeki düzelmenin daha fazla olduğu, nazal pasajda daralmanın daha az olduğu, postoperatif dönemde ödem ve ekimozun daha az olduğu görüldü. Sonuç: Açık septorinoplasti operasyonu, klasik olarak osteotomi uygulanarak yapılsa da osteotomi uygulanmadan yapılan operasyonların, nazal pasajda daralmaya neden olmadığı, postoperatif ödem ve ekimozun daha az olduğu görülmüştür. Osteotomisiz rinoplasti, preoperatif dönemde detaylı ön çalışma ile seçilmiş hastalarda yararlı bir prosedür olabilir.

References

  • Rohrich RJ, Adams W. Nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg. 2000;106:266-73.
  • Toriumi DM, Ries WR. İnnovative surgical
  • management of the crooked nose deformity. Facial Plast Surg Clin. 1993;1:63-8.
  • Friedman M, Ibrahim H, Syed Z. Nasal valve suspension: an improved, simplified technique for nasal valve collapse. Laryngoscope. 2003;113:381-5.
  • O’Neal RM, Izemberg P, Schlesinger J. Surgical anatomy of the nose. Clin Plast Surg. 1996;23:195- 201.
  • Rollin K.D. Rhinoplasty. An atlas of surgical techniques.1st ed.,China:Springer. 2002;27.
  • Howard B, Rohrich RJ. Understanding the Nasal Airway: Principles and Practice. Plast Reconstr Surg. 2002;109:1128-46.
  • Wittkopf M, Wittkopf JR, Russell W .The diagnosis and treatment of nasal valve collapse. Otolaryngol Head Neck Surg. 2008;16:10–3.
  • Guyuron B. Nasal Osteotomy and Airway Changes. Plast Reconstr Surg. 1998;102:856-60.
  • Rohrich RJ, Muzaffar AR, Janis JE. Component Dorsal Hump Reduction: The Importance of Maintaining Dorsal Aesthetic Lines in Rhinoplasty. Plast Reconstr Surg. 2004;114:1298-308. Altunyazar C. Effects of Steroids on Edema, Ecchymosis, and İntraoperative Bleeding in Rhinoplasty. Ann Plast Surg. 2003;51:570-4.
  • Hossam MT, Foda MD. The rol of Septal Surgery in Management of the Deviated Nose. Plast Reconstr Surg. 2005;115:406-15.
  • Higuera S, Lee EI, Cole P, Hollier LH, Stal S. Nasal Trauma and Deviated Nose. Plast Reconst Surg. 2007;120:645-55.
  • Totonchi A, Guyuron B. A Randomized, Controlled Comparison between Arnica and Steroids in the Management of Postrhinoplasty Ecchymosis and Edema. Plast Reconstr Surg. 2007;120:271-4.
  • Michael JK, Ham J, Fechner F, Constantinides M. Quantitative analysis of lateral osteotomies in rhinoplasty. Arch Facial Plast Surg. 2006;8:369-73.
  • Toriumi DM. Nasal osteotomy and airway changes. Plast Reconst Surg. 1998;102:861-3.
  • Courtiss EH, Goldwyn RM. The effects of nasal surgery on airflow. Plast Reconst Surg. 1983;72:9-21.
  • Camirand A, Douced J, Haris J. Nose Surgery: How to prevent a middle vault collapse- A review of 50 patients 3 to 21 years. Plast Reconst Surg. 2004;114:527-34.
  • McKee GJ,O’Neill G,Roberts C, Lesser TH. Nasal airflow after septorhinoplasty. Clin Otolaryngol. 1994;19:254-8.
  • Godley FA, Nemeroff RF, Josephson JS. Current trends in rhinoplasty and the nasal airway. Med Clin North Am. 1993;77:643-56.
  • Sheen JH, Sheen AP. Aesthetic Rhinoplasty,2 nd ed. St Louis:QMP. 1998;216-9.
  • Rhee JS, Poetker DM, Smith TL, Bustillo A, Burzynski M, Davis RE. Nasal Valve Surgery Improves Disease-Specific Quality of Life. Laryngoscope. 2005;15:437-40.
  • Teichgraeber JF, Wainwright DJ. The treatment of nasal valve obstruction. Plast Reconstr Surg. 1994;93:1174-84.
  • Kara, CO, Gökalan İ. Effects of Single-Dose Steroid Usage on Edema, Ecchymosis, and İntraoperative Bleeding in Rhinoplasty. Plast Reconstr Surg. 1999;104:2213-18.
  • Arslan E. No osteotomy rhinoplasty: indications and surgical details. Aesthetic Plast Surg. 2014;38:57-62.
  • Duron JB, Jallut Y, Nguyen PS, Aiach G, Bardot J. Osteotomies in rhinoplasty. Ann Chir Plast Esthet. 2014;59:418-23.
There are 25 citations in total.

Details

Primary Language English
Journal Section Research
Authors

Cengiz Eser

Eyüphan Gencel This is me

İbrahim Tabakan This is me

Erol Kesiktaş This is me

Metin Yavuz This is me

Publication Date October 2, 2015
Published in Issue Year 2015 Volume: 40 Issue: 4

Cite

MLA Eser, Cengiz et al. “The Comparison of Open Septorhinoplasty Methods With or Without Osteotomies Performed in Situations of Traumatic Nasal Deformation”. Cukurova Medical Journal, vol. 40, no. 4, 2015, pp. 738-45, doi:10.17826/cutf.22407.