휘어진 코를 교정하는 편측 절골술의 효과
The Results of Unilateral Osteotomy to Correct the Deviated Nose
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background and Objectives Osteotomy, usually carried out bilaterally, is a commonly performed procedure to correct the bony dorsum of deviated nose. However, it is an invasive maneuvers which can affect the stability of nasal bone and develop complications, such as, edema and ecchymosis. This study aims to evaluate the usefulness of unilateral osteotomy in correcting a deviated nose with various scoliosis. Subjects and Method We studied 9 of the 69 patients who underwent corrective rhinoplasty with unilateral osteotomy to correct the bony nasal dorsum between 2010 and 2014. For patients whose bony nasal dorsum was corrected well after performing osteotomy on the convex side of the bony dorsum, the opposite side was not operated on; however, if correction was incomplete, osteotomy was additionally performed on the opposite side. For this study, patients who underwent bilateral osteotomy were excluded from the study. The improvement of correction was assessed by comparing the preoperative and postoperative photos. Results Of the nine patients treated with unilateral osteotomy, 5 cases were C or reverse C type deviations, 1 case was S type deviation and 3 were straight deviations. Five of the nine patients improved greatly and the rest improved significantly. None of the patients experienced worsening change postoperatively. Conclusion Osteotomy is essential but invasive maneuver, so it is desirable to reduce the number of times to execute. By performing osteotomy on the convex side of the nose first, we can correct the deviated nose effectively while reducing the number of implementation. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(11):559-64
Abstract
Background and Objectives Osteotomy, usually carried out bilaterally, is a commonly performed procedure to correct the bony dorsum of deviated nose. However, it is an invasive maneuvers which can affect the stability of nasal bone and develop complications, such as, edema and ecchymosis. This study aims to evaluate the usefulness of unilateral osteotomy in correcting a deviated nose with various scoliosis. Subjects and Method We studied 9 of the 69 patients who underwent corrective rhinoplasty with unilateral osteotomy to correct the bony nasal dorsum between 2010 and 2014. For patients whose bony nasal dorsum was corrected well after performing osteotomy on the convex side of the bony dorsum, the opposite side was not operated on; however, if correction was incomplete, osteotomy was additionally performed on the opposite side. For this study, patients who underwent bilateral osteotomy were excluded from the study. The improvement of correction was assessed by comparing the preoperative and postoperative photos. Results Of the nine patients treated with unilateral osteotomy, 5 cases were C or reverse C type deviations, 1 case was S type deviation and 3 were straight deviations. Five of the nine patients improved greatly and the rest improved significantly. None of the patients experienced worsening change postoperatively. Conclusion Osteotomy is essential but invasive maneuver, so it is desirable to reduce the number of times to execute. By performing osteotomy on the convex side of the nose first, we can correct the deviated nose effectively while reducing the number of implementation. Korean J Otorhinolaryngol-Head Neck Surg 2017;60(11):559-64
참고문헌 (15)
- Thomas JR, "Steps for a safer method of osteotomies in rhinoplasty", Laryngoscope, 97(6), pp.746~747 (1987)
- Gerbault O, "The role of piezoelectric instrumentation in rhinoplasty surgery", Aesthet Surg J, 36(1), pp.21~34 (2016)
- Taşkın Ü, "The comparison of edema and ecchymosis after piezoelectric and conventional osteotomy in rhinoplasty", Eur Arch Otorhinolaryngol, 274(2), pp.861~865 (2017)
- Ong AA, "Interventions to decrease postoperative edema and ecchymosis after rhinoplasty: a systematic review of the literature", Plast Reconstr Surg, 137(5), pp.1448~1462 (2016)
- 정용기, "환자 특성을 고려한 사비교정술", 대한이비인후과학회지 두경부외과학, 56(11), pp.684~691 (2013), 대한이비인후과학회[DOI]
- Jang YJ, "Percutaneous root osteotomy for correction of the deviated nose", Am J Rhinol, 21(4), pp.515~519 (2007)
- Jin HR, "Key maneuvers for successful correction of a deviated nose in Asians", Am J Rhinol, 20(6), pp.609~614 (2006)
- Deneeke HJ, "Plastic surgery of head and neck: corrective and reconstructive rhinoplasty", pp.48~67 (1967), Springler-Verlag New York Inc
- Hilger JA, "The internal lateral osteotomy in rhinoplasty", Arch Otolaryngol, 88(2), pp.211~212 (1968)
- Parsa FD, "Intraoral versus intranasal approach to lateral osteotomy", Plast Reconstr Surg, 90(2), pp.341~ (1992)
- Goldfarb M, "Perforating osteotomies in rhinoplasty", Arch Otolaryngol Head Neck Surg, 119(6), pp.624~627 (1993)
- Jang YJ, "Rhinoplasty using percutaneous osteotomy", Korean J Otolaryngol-Head Neck Surg, 43(9), pp.952~955 (2000)
- Kim YH, "A systematized strategy in corrective rhinoplasty for the Asian deviated nose", Ann Plast Surg, 79(1), pp.7~12 (2017)
- Kortbus MJ, "Quantitative analysis of lateral osteotomies in rhinoplasty", Arch Facial Plast Surg, 8(6), pp.369~373 (2006)
- Webster RC, "Curved lateral osteotomy for airway protection in rhinoplasty", Arch Otolaryngol, 103(8), pp.454~458 (1977)