Alan Mehmet Akif, Yücel Hilal
Department of Otorhinolaryngology Head and Neck Surgery, Konya City Hospital, University of Health Sciences Turkey, Konya, Turkey.
Turk Arch Otorhinolaryngol. 2023 Mar;61(1):14-19. doi: 10.4274/tao.2023.2022-12-1. Epub 2023 Aug 11.
The study was designed to evaluate the effectiveness of the asymmetric dorsal preservation technique for correcting I-shaped crooked nose deformity (CND).
Patients with I-shaped CND who underwent asymmetric dorsal preservation in the period from September 2020 to September 2021 were included in this retrospective study. The Rhinomanometry and Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) was used to assess the outcomes. Deviation angle (DA) measurements were used to evaluate the degree of crookedness. The results were recorded both preoperatively and 12 months postoperatively.
Twenty-three patients were included in the study. Total nasal airflow and long-side nasal airflow were significantly higher 12 months postoperatively (p=0.001 each). Total nasal resistance, long-side nasal resistance, SCHNOS scores and DA measurements were significantly lower 12 months postoperatively (p<0.001 each).
Asymmetric dorsal preservation is a successful alternative technique for correcting I-shaped CND and achieving optimal aesthetic and functional outcomes.
本研究旨在评估不对称鼻背保留技术矫正I型歪鼻畸形（CND）的有效性。
本回顾性研究纳入了2020年9月至2021年9月期间接受不对称鼻背保留手术的I型CND患者。采用鼻阻力测量法以及标准化美容和健康鼻腔结果调查（SCHNOS）来评估结果。使用偏斜角度（DA）测量来评估歪斜程度。术前和术后12个月均记录结果。
本研究纳入了23例患者。术后12个月时，总鼻气流和长侧鼻气流均显著升高（均p = 0.001）。术后12个月时，总鼻阻力、长侧鼻阻力、SCHNOS评分和DA测量值均显著降低（均p < 0.001）。
不对称鼻背保留是矫正I型CND并实现最佳美学和功能效果的一种成功的替代技术。
