Aesthetic and Functional Outcomes of Open versus Closed Septorhinoplasty in Deviated Nose Deformity

Abstract

Background: Over the years, an optimal surgical method for septorhinoplasty in deviated nose as a challenging problem was the one of common interest of plastic surgeon; the purpose of this study is to compare outcomes of open and closed methods of septorhinoplasty in patients with deviated noses. Methods: Through a prospective study, we selected seventy patients with deviated nose. Based on their deviation severity, they underwent open or closed septorhinoplasty. Patients were evaluated for deviation angles of nasal bony and cartilage components, nasal projection, nasolabial angle, nasofacial angle, and nasofrontal angle; for which three standard photos were captured pre and postoperatively. Finally the outcomes were analyzed according to their surgical methods. Results: Closed septorhinoplasty could grant a mean 11 degrees correction to nasal bony component and a mean 8.6 degrees correction to cartilage component. That’s while open septorhinoplasty could bring a mean 19.5 degrees deviation correction to the bony component and a mean 12.5 degrees deviation correction to the cartilage component. Cosmetic angles were not improved significantly after the surgery, maybe because of complicated deformities our series of patients had. Conclusion: Open septorhinoplasty resulted in better cosmetic and functional outcomes than the closed method.

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S. Hosseini, M. Sadeghi, B. Saedi, A. Safavi and G. Hedaiati, "Aesthetic and Functional Outcomes of Open versus Closed Septorhinoplasty in Deviated Nose Deformity," International Journal of Otolaryngology and Head & Neck Surgery, Vol. 1 No. 2, 2012, pp. 7-13. doi: 10.4236/ijohns.2012.12002.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] H. S. Byrd, J. Salomon and J. Flood, “Correction of the Crooked Nose,” Plastic and Reconstructive Surgery, Vol. 102, No. 6, 1998, pp. 2148-2157. doi:10.1097/00006534-199811000-00055
[2] J. P. Gunter and R. J. Rohrich, “Management of the Deviated Nose. The Importance of Septal Reconstruction,” Clinics in Plastic Surgery, Vol. 15, No. 1, 1988, pp. 43-55.
[3] R. P. TerKonda and J. M. Sykes, “Repairing the Twisted Nose,” Otolaryngologic Clinics of North America, Vol. 32, No. 1, 1999, pp. 53-64. doi:10.1016/S0030-6665(05)70115-8
[4] R. J. Rohrich, “A Practical Classification of Septonasal Deviation and an Effective Guide to Septal Surgery,” Plastic and Reconstructive Surgery, Vol. 104, No. 7, 1999, pp. 2210-2212. doi:10.1097/00006534-199912000-00040
[5] R. J. Rohrich, J. P. Gunter, M. A. Deuber and W. P. Adams Jr., “The Deviated Nose: Optimizing Results Using a Simplified Classification and Algorithmic Approach,” Plastic and Reconstructive Surgery, Vol. 110, No. 6, 2002, pp. 1509-1525. doi:10.1097/00006534-200211000-00018
[6] H. M. T. Foda, “The Role of Septal Surgery in Management of the Deviated Nose,” Plastic and Reconstructive Surgery, Vol. 115, No. 2, 2005, pp. 406-415. doi:10.1097/01.PRS.0000149421.14281.FD
[7] W. Gubisch, “The Extracorporeal Septum Plasty: A Technique to Correct Difficult Nasal Deformities,” Plastic and Reconstructive Surgery, Vol. 95, No. 4, 1995, pp. 672-682. doi:10.1097/00006534-199504000-00008
[8] G. M. Johnson and J. R. Anderson, “The Deviated Nose—Its Correction,” The Laryngoscope, Vol. 87, No. 10, 1977, pp. 1680-1684.
[9] J. Porter and D. M. Toriumi, “Surgical Techniques for Management of the Crooked Nose,” Aesthetic Plastic Surgery, Vol. 26, Suppl. 1, 2002, S18.
[10] J. J. Daele, E. Leruth and Y. Goffart, “Consensus in Rhinoplasty,” B-ENT, Vol. 6, Suppl. 15, 2010, pp. 109-113.
[11] G. Hubin and J. J. Daele, “Rhinoplasty Outcome Measurement,” B-ENT, Vol. 6, Suppl. 15, 2010, pp. 103-108.
[12] D.-H. Park, T.-M. Kim, D.-G. Han and K.-Y. Ahn, “Endoscopic-Assisted Correction of the Deviated Nose,” Aesthetic Plastic Surgery, Vol. 22, No. 3, 1998, pp. 190-195. doi:10.1007/s002669900190
[13] N. Fanous, “Unilateral Osteotomies for External Bony Deviation of the Nose,” Plastic and Reconstructive Surgery, Vol. 100, No. 1, 1997, pp. 115-123. doi:10.1097/00006534-199707000-00021
[14] M. Mendelsohn, “Straightening the Crooked Middle Third of the Nose,” Archives of Facial Plastic Surgery, Vol. 7, No. 2, 2005, pp. 74-80. doi:10.1001/archfaci.7.2.74
[15] A. T. Pontius and J. L. Leach, “New Techniques for Management of the Crooked Nose,” Archives of Facial Plastic Surgery, Vol. 6, No. 4, 2004, pp. 263-266.
[16] M. Sadeghi, B. Saedi, A. Sazegar and M. Amiri, “The Role of Columellar Struts to Gain and Maintain Tip Projection and Rotation: A Randomized Blinded Trial,” American Journal of Rhinology & Allergy, Vol. 23, No. 6, 2009, pp. e47-e50.
[17] M. B. Constantian, “An Algorithm for Correcting the Asymmetrical Nose,” Plastic and Reconstructive Surgery, Vol. 83, No. 5, 1989, pp. 801-811. doi:10.1097/00006534-198905000-00006

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