Department of Otorhinolaryngology and Head and Neck Surgery; Health Sciences University Bozyaka Training and Research Hospital.
Department of Plastic, Reconstructive and Aesthetic Surgery; Izmir Bakircay University Cigli Training and Research Hospital.
J Craniofac Surg. 2022;33(2):661-664. doi: 10.1097/SCS.0000000000007692.
Achieving aesthetic and functional results in rhinoplasty requires meticulous techniques, and postoperative edema, ecchymosis, and pain can deteriorate the desired outcomes. Different osteotomy techniques are defined to have optimal outcomes while reducing edema, ecchymosis, and pain. In this study, the authors compared conventional and power-assisted surgical burr osteotomy techniques in terms of early postoperative complications. Patients who underwent primary open septorhinoplasty were included in the study and were divided into 2 groups. The first group had lateral endonasal osteotomy with conventional guided osteotomes, and the second group had lateral osteotomy with surgical round burr. Edema and ecchymosis scoring systems were used on the postoperative first, third, and seventh day to evaluate postoperative edema and ecchymosis, and the visual analog scale was used to evaluate pain severity on the postoperative period. Out of 70 patients who had undergone septorhinoplasty, 36 received conventional osteotomy and 34 received surgical round burr osteotomy. Periorbital ecchymosis scores were significantly lower in the second group on the postoperative first, third, and seventh days. The periorbital edema scores were significantly lower in the second group on the first postoperative day but no difference was found between postoperative days 3 and 7. Also, the pain scores were significantly lower in the second group. Osteotomy with surgical round burr yields less ecchymosis, edema, and pain in the early postoperative period than conventional osteotomy in primary septorhinoplasty patients.
在鼻整形术中实现美观和功能效果需要精细的技术，术后水肿、瘀斑和疼痛会恶化预期的结果。不同的截骨技术被定义为可以在减少水肿、瘀斑和疼痛的同时获得最佳效果。在这项研究中，作者比较了传统和动力辅助手术磨钻截骨技术在早期术后并发症方面的差异。本研究纳入了行初次开放式鼻中隔成形术的患者，并将其分为两组。第一组采用传统引导骨刀行鼻外侧内切开术，第二组采用外科圆骨钻行鼻外侧切开术。术后第 1、3、7 天使用水肿和瘀斑评分系统评估术后水肿和瘀斑，使用视觉模拟评分法评估术后疼痛严重程度。在 70 例行鼻中隔成形术的患者中，36 例行传统截骨术，34 例行外科圆骨钻截骨术。术后第 1、3、7 天，第二组患者眶周瘀斑评分明显较低。术后第 1 天，第二组患者眶周水肿评分明显较低，但术后第 3 天和第 7 天两组间无差异。此外，第二组患者的疼痛评分也明显较低。与传统截骨术相比，外科圆骨钻截骨术在原发性鼻中隔成形术患者的早期术后阶段可减少瘀斑、水肿和疼痛。
