Computer-Aided Rhinoplasty Using a Novel 'navigated' Nasal Osteotomy Technique: A Pilot Study
| Autor: | Kris S. Moe, Marc H. Hohman, Mark E. Whipple, Elizabeth H. Wick |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
Adolescent medicine.medical_treatment Pilot Projects Osteotomy Rhinoplasty Young Adult 03 medical and health sciences 0302 clinical medicine Nose Diseases medicine Humans Nasal Bone 030223 otorhinolaryngology Computer-assisted surgery Orthodontics business.industry 030206 dentistry General Medicine Nasal bone Surgery Computer-Assisted Otorhinolaryngology Patient Satisfaction Computer-aided Female Tomography X-Ray Computed business |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 130:1148-1155 |
| ISSN: | 1943-572X 0003-4894 |
| Popis: | Objective: To describe the surgical technique of navigation-guided nasal osteotomies and assess feasibility of this technique for treating complex nasal bone deformities in reconstructive rhinoplasty. Methods: A retrospective chart review was performed in order to identify patients who underwent computer-aided rhinoplasty from August 2014 to February 2017. Inclusion criteria were nasal bone deformities on computed-tomography (CT) that correlated with specific nasal complaints. All patients underwent computer-aided rhinoplasty with navigation-guided nasal osteotomies using a standard navigation system. Osteotomies were performed using real-time visualization on the navigation screen. Additional soft tissue procedures were performed as needed. Medical records were reviewed for presenting symptoms, radiologic and operative findings, and postoperative course. Cosmetic outcomes were subjectively based on patients’ standard 6-view photo-documentation from pre- and post-operative timepoints. Results: Twenty-one patients were included in the study; 8 were revision cases and 3 had mild-to-moderate hemifacial microsomia. Fifteen were completely closed procedures. No cases were opened because of inadequate visualization or difficulty accessing bony pathology. Mean (range) follow up was 98.6 (6-559) days. There were no intra-operative complications, unplanned admissions or re-admissions, or iatrogenic cosmetic complications (ie, “inverted V” or “saddle nose” deformities). Two patients required revision. One was after suffering nasal trauma within 4 weeks of initial rhinoplasty. The second underwent further correction of a deformity that required a costochondral graft. Both experienced good final results. Conclusions: Computer-aided rhinoplasty is safe and feasible for treating complex nasal deformities using standard navigation systems. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|