Goljanian Tabrizi Ali, Ghazizadeh Matin, Barati Behrouz, Nouri Sara
Department of Otorhinolaryngology, Head and Neck Surgery, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
World J Plast Surg. 2020 Sep;9(3):290-295. doi: 10.29252/wjps.9.3.290.
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.
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.
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.
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.
在鼻整形术中已引入多种方法来矫正歪鼻。本研究旨在比较两种不同鼻整形技术下鼻锥体的最终形态以及患者对手术效果的满意度。
本研究的参与者接受了两种不同技术的鼻整形术，一种是双侧截骨术，另一种是使用锉刀进行不对称驼峰鼻矫正术。90名患者通过四重区组随机化分为两组。对患者术后6个月和12个月的鼻偏矫正情况进行比较。还使用研究人员自制的问卷评估了他们对鼻整形术效果的自评满意度。
每个手术组有45名患者进行了歪鼻矫正。最初，两个研究组的鼻偏均值相对相似（C形组为159.83±22.37度，I形组为11.79±4.98度）。两个干预组鼻整形术后偏斜度的变化均具有统计学意义。然而，基于鼻曲率的形状，双侧截骨术在I形曲率的长期随访中更具优势。双侧截骨术组患者对鼻部外观的术后满意度更高，且他们对再次手术的兴趣较低。
两种鼻整形技术在术后鼻偏矫正变化方面无统计学差异。然而，双侧截骨术组在I形曲率的长期变化方面更理想。在研究参与者中，使用双侧截骨术与更好的美学效果满意度相关。
