One-Unit Osteotomy to Correct Deviated Bony Dorsum
| Autor: | Byung Kil Kim, Yujin Heo, Song I Park, Sang Duk Hong, Yong Gi Jung, Hyo Yeol Kim |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Clinical and Experimental Otorhinolaryngology, Vol 16, Iss 1, Pp 59-66 (2023) |
| Druh dokumentu: | article |
| ISSN: | 1976-8710 2005-0720 |
| DOI: | 10.21053/ceo.2022.01095 |
| Popis: | Objectives. A crooked nose is frequently caused by nasal bony vault deviation, and proper management of the bony vault is an integral part of rhinoplasty. Conventional osteotomy to correct a deviated nose favors simultaneous medial and lateral osteotomies, which allows the free independent movement of each nasal bone. However, patient satisfaction with deviated nose surgery is sometimes low. In the present study, we introduce a one-unit osteotomy procedure that combines bilateral and root osteotomies with unilateral triangular bony wedge resection to allow symmetry of both nasal bones. Methods. Twenty consecutive patients who presented with bony vault deviation and underwent one-unit osteotomy were enrolled in this retrospective single-center study. The Nasal Obstruction Symptom Evaluation (NOSE) questionnaire was used to evaluate each patient’s functional outcome. The angle of bony vault deviation before and after one-unit osteotomy was measured using a protractor and compared with the results of 14 patients who had undergone conventional osteotomy. The improvement in dorsal deviation was evaluated using facial photography preoperatively and 3 months postoperatively. Results. NOSE values improved from 8.4±6.4 to 4.1±4.2 (P=0.021). The angle of bony vault deviation improved from 6.9°±2.2° to 2.1°±1.2° (P |
| Databáze: | Directory of Open Access Journals |
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