Tugrul Selahattin, Dogan Remzi, Kocak Ilker, Ozturan Orhan
From the *Department of Otorhinolaryngology, Bezmialem Vakif University, Fatih, Istanbul; †Department of Otorhinolaryngology, Bayrampasa State Hospital, Bayrampasa, Istanbul; and ‡Department of Otorhinolaryngology, Kozluk State Hospital, Batman, Turkey.
J Craniofac Surg. 2015 Jan;26(1):180-5. doi: 10.1097/SCS.0000000000001190.
Correcting crooked nose deformity is one of the most difficult procedure in rhinoplastic surgery. For that reason, the authors have been designed an asymmetrically pressing nasal splint. In this prospective study, the aim was to compare the effects of applying asymmetrically pressing nasal splint and normal symmetrically splint on the crooked nose.
This study included 129 patients who were operated on for crooked nose deformity. Patients were divided into 2 groups. Normal symmetrically pressing nasal splint was applied to groups 1a (I type) and 1b (C type). Asymmetrically pressing nasal splint was applied to groups 2a (I type) and 2b (C type). All groups were compared according to deflection angle from the midline, the percentage of postoperative improvement, patient satisfaction with visual analog scale, and complication rate.
I-type noses in both groups at postoperative angle values were reduced, and C-type noses in both groups at postoperative angle values were increased significantly compared with preoperative values. I-type noses of group 2 at postoperative angle values compared with group 1 were reduced, and C-type noses were increased in group 2 significantly. Patient satisfaction rate in group 2 were significantly better than in group 1. The closeness ratios to the ideal angles in group 1 were in "good" and "moderate" levels, whereas in group 2, it was in "excellent" level. There was no significant difference in complication rate in both groups.
Asymmetrically pressing splint (novel design) showed increasing success rate clearly in crooked nose surgery than in normal splints.
矫正歪鼻畸形是鼻整形手术中最困难的手术之一。因此，作者设计了一种不对称加压鼻夹板。在这项前瞻性研究中，目的是比较应用不对称加压鼻夹板和普通对称夹板对歪鼻的影响。
本研究纳入了129例接受歪鼻畸形手术的患者。患者分为2组。1a组（I型）和1b组（C型）应用普通对称加压鼻夹板。2a组（I型）和2b组（C型）应用不对称加压鼻夹板。根据偏离中线的角度、术后改善百分比、患者视觉模拟量表满意度和并发症发生率对所有组进行比较。
两组I型鼻术后角度值均减小，两组C型鼻术后角度值与术前值相比均显著增加。2组I型鼻术后角度值与1组相比减小，2组C型鼻显著增加。2组患者满意度明显优于1组。1组与理想角度的接近率处于“良好”和“中等”水平，而2组处于“优秀”水平。两组并发症发生率无显著差异。
不对称加压夹板（新型设计）在歪鼻手术中显示出比普通夹板明显更高的成功率。
