Manhas Priya, Angral Sumeet, Kotwal Sunil
1Department of ENT, Govt. Medical College Jammu, Jammu, India.
Present Address: R/O Rayasuchani Tehsil Vijaypur, Jammu, Jammu & Kashmir India.
Indian J Otolaryngol Head Neck Surg. 2020 Mar;72(1):17-23. doi: 10.1007/s12070-019-01712-z. Epub 2019 Jul 26.
The goal of rhinoplasty is to improve the nose aesthetically as well as functionally. Surgical access to the nose can be gained via close rhinoplasty, open rhinoplasty) or a combination of the two. To assess various types of nasal deformities, aesthetic results of open rhinoplasty and pitfalls of open rhinoplasty in patients planned for surgery. This prospective longitudinal study was done in the Department of ENT GMC Jammu between November 2015 and October 2016. This included patients with nasal deformities willing for corrective surgery, above 18 years of age. Postoperative aesthetic parameters were measured to evaluate the aesthetic outcomes on the 2 weeks, 6 weeks and 3 months. Post-operative complications were noted. 20 patients were admitted for open septorhinoplasty; crooked nose was the most common deformity found in 55% of the patients. Nasal trauma (50%) was most common cause of external nasal deformity. Autologous septal cartilage was used in 85% patients while autologous auricular cartilage was used in 15% patients. Eyelid edema was the most common complication seen. In this study according to the patient follow up self-evaluations, 65% patients were partially satisfied and 35% patients are satisfied with the aesthetic results. Additional procedures are required along with rhinoplasty for better results of surgery. Open rhinoplasty is better cosmetic surgery for the correction of nasal framework defects and post-operative complications are quite low with the open rhinoplasty.
隆鼻手术的目标是在美学和功能上改善鼻子。可以通过闭合性隆鼻术、开放性隆鼻术或两者结合的方式来进行鼻部手术。为了评估各种类型的鼻畸形、开放性隆鼻术的美学效果以及计划接受手术患者的开放性隆鼻术的陷阱。这项前瞻性纵向研究于2015年11月至2016年10月在查谟政府医学院耳鼻喉科进行。研究对象包括年龄在18岁以上、愿意接受矫正手术的鼻畸形患者。在术后2周、6周和3个月测量术后美学参数以评估美学效果。记录术后并发症。20例患者接受了开放性鼻中隔隆鼻术；歪鼻是最常见的畸形，在55%的患者中出现。鼻外伤（50%）是鼻外畸形最常见的原因。85%的患者使用了自体鼻中隔软骨，15%的患者使用了自体耳软骨。眼睑水肿是最常见的并发症。在这项研究中，根据患者随访的自我评价，65%的患者部分满意，35%的患者对美学效果满意。为了获得更好的手术效果，隆鼻手术还需要其他辅助手术。开放性隆鼻术对于矫正鼻支架缺陷是更好的美容手术，并且开放性隆鼻术的术后并发症相当低。
