| Abstrakt: |
This article for the first time described a novel, hybrid approach to internal rhinoplasty by combining a reciprocating saw/osteotome. We compared it with conventional “pure” instrument (osteotomies performed by chisel only) in terms of cutting time and postoperative complications such as ecchymosis, edema, pain and overall patient’s satisfaction with surgery. Materials and methods: We conducted a prospective, randomized, double-blind clinical trial study. To assess variables of the study 60 patients were divided into two groups: 1) 30 patients underwent new approach and 2) 30 patients underwent conventional osteotomies. The outcomes of the study were cutting time in minutes and postoperative edema, ecchymosis and pain and overall patient’s satisfaction which were measured at two time points: days 2 and 7 after surgery. Data were analyzed using repeated measure ANOVA test. Results: The mean cutting time was significantly lower in Ghasemzadeh approach group when compared with usual osteotome group (P value=0.001). On both 2 and 7 days following surgery, ecchymosis (P value=0.001 and =0.033, respectively) and pain (P value= 0.001 and 0.001, respectively) was significantly lower in Ghasemzadeh approach group than in the usual osteotome group. The mean level of edema on postoperative 2 days was lower but not significant in Ghasemzadeh approach group than in the usual osteotome group (P = .09), while it was significant on 7 days (P value=0.001). The patient’s satisfaction reported by the Ghasemzadeh approach group was significantly better than usual osteotome group on 2 and 7 days following surgery. Conclusion: It is concluded that the use of combined reciprocating saw/osteotome in rhinoplasty showed that swelling, pain, ecchymosis and short-term patient satisfaction was improved with this technique. [ABSTRACT FROM AUTHOR] |
