Ahmad A. Mirza
King Abdullah Medical City
Saudi Arabia
Title: Comparison between two types of osteotomy in Rhinoplasty: A prospective interventional study
Biography
Biography: Ahmad A. Mirza
Abstract
BACKGROUND: Nasal deformity is an abnormality in the appearance of the nose due to either congenital defect or trauma. In the traumatic cases, the patients often present with combined functional and cosmetic complaints of the nose. Wherefore, otolaryngologists take into account both breathing and aesthetic nasal issues. The purpose of this prospective investigation was to evaluate the changes of the nasal dorsum and base as well as to compare breathing and aesthetic satisfaction scores following two types of lateral nasal osteotomy defined as low-to-low and low-to-high osteotomy.
MATERIALS/METHODS: This non-randomized interventional prospective study was conducted in King Abdullah Medical City among all patients received hump reduction rhinoplasty from 2013 till 2015. Twenty-eight patients underwent low-to-low osteotomy while 18 patients received low-to-high type of osteotomy consecutively. Preoperative and postoperative photographs were captured from each candidate to measure the differences in dorsal (DW/IP) and ventral (VW/IP) widths over the inter-pupillary distance (30mm). Satisfaction scores of both cosmetic and breathing function were obtained in the postoperative evaluation using a 5-point likert scale.
RESULTS: In both techniques, there was a significant decrease from preoperative to postoperative ratios of VW/IP distance and DW/IP distance. However, differences in DW/IP ratio and VW/IP ratio (pre versus post-op) were significantly high in the group with low-to-low class. All the patients showed breathing satisfaction post operatively regardless of the operative techniques used for them. Moreover, all the patients who were below satisfaction level of aesthetic sensibility, i.e., neutral and dissatisfied were belonged to low-to-high osteotomy.
CONCLUSIONS: Both types of osteotomy showed a satisfactory outcome either in the objective and subjective measures. However, low-to-low osteotomy is superior in the differences of DW/IP and VW/IP.