VISUALIZED SUBPERIOSTEAL INTERNAL LATERAL OSTEOTOMY IN OPEN RHINOPLASTY FOR IMPROVED RECOVERY AND OUTCOME | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Articles in Press, Accepted Manuscript, Available Online from 06 September 2021 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2021.79349.1082 | ||
| Authors | ||
| yasmine darwish1; sarah raafat* 1; Sherif Zamer2; yusuf elkholy1; laila aboulnasr3 | ||
| 1Cairo University , Kasr alainy | ||
| 2Cairo University | ||
| 3Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt. | ||
| Abstract | ||
| Background: Many techniques are described for performing lateral osteotomies with the external perforating and the continuous internal methods being the most common. Osteotomy remains challenging, being done blindly and associated with morbidities. In this study a new simple approach for lateral osteotomy is described. This technique aims at achieving more precise osteotomy outcomes with a short learning curve and with morbidity reduction, in terms of edema and ecchymosis. Patients and Methods: A prospective, single-arm case series study is conducted on 20 patients seeking primary rhinoplasty. A periosteal incision is done and subperiosteal dissection is performed at the level of the proposed osteotomies. The osteotome is anchored under vision to the edge of the nasal bone and the osteotomy is performed along the proposed site till the radix. Follow up visits with photography are at day two, day ten then at three weeks, two months, and three months. Results: Upon assessing the postoperative course of our cases, sixteen patients (80%) developed grade I edema, which resolved completely by the 3rd postoperative day. Eighteen patients (90%) did not complain of any ecchymosis in the postoperative period. An accelerated learning curve was noticed through shorter intraoperative time 42% downtime, easy replication of technique and better results. Conclusion: This technique of lateral osteotomies enables a higher degree of control for the fracture line with short learning curve and easy reproducibility. Furthermore, the amount and the duration of postoperative complications in terms of edema and ecchymosis are minimal. | ||
| Keywords | ||
| Rhinoplasty; osteotomy; subperiosteal; internal | ||
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