International Journal of Medical and Health Research

ISSN: 2454-9142

Vol. 3, Issue 11 (2017)

Outcome of different types of osteotomy in primary and revision rhinoplasty

Author(s): Dr. Mohammed Saad ElDin Ali, Waed S Jameel, Noran AM Sultan, Ahmad A Mirza, Lamees IH Filimban, Moath MS Alshanqity, Ziad A Alahmadi, Alhareth A Baarimah, Amjad A Saifaldien
Abstract: Objective: Rhinoplasty enhances facial harmony and the proportions of the nose. The ultimate goal of our research was to observe variations between two techniques of lateral osteotomies, low-to-low and low-to-high, to weigh the advantages and disadvantages of each and to measure overall patient fulfilment.
Methods: This is a retrospective cohort study contained 104 patients, all above 18 years of age, who had undergone rhinoplasty surgery via one of two different techniques used for lateral osteotomy. Seventy patients underwent the low-to-low technique, and 34 patients underwent the low-to-high technique. All 104 patients had some sort of nasal deformity. Our research compared the ventral width, patient satisfaction in breathing and aesthetic considerations both pre and postoperatively.
Results: The statistical analysis, through aesthetic calculations, showed a significant variation in the results for patient satisfaction and a ventral width measurement of P<.0001. Of the low-to-low group, 95.7% reached an ideal ventral width, according to the Arabic nose values; in contrast, in the low-to-high group, only 52.9% reached that result. The breathing result was unremarkable postoperatively at P<.78.
Conclusion: The aesthetic view of the low-to-low group results showed a statistically significant number of patients who had almost reached the ideal measurements of P<.0001. However, patient satisfaction in breathing and quality of life improved in both groups equally.
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