Corrective Rhinoplasty for Deviated Nose a New Osteotomy Technique.

Park, Dae Kyun; Kim, Sang Beom; Han, Seung Kyu; Kang, Eun Taek; Kim, Woo Kyung

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Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2007;34(2):243-249.
Published online March 1, 2007.

Corrective Rhinoplasty for Deviated Nose a New Osteotomy Technique.

Dae Kyun Park, Sang Beom Kim, Seung Kyu Han, Eun Taek Kang, Woo Kyung Kim

Department of Plastic Surgery, Korea University College of Medicine, Seoul, Korea. pshan@kumc.or.kr

Abstract

PURPOSE
Posttraumatic nasal deformities might not be corrected adequately by conventional osteotomy techniques when the configuration of the nasal bone has been changed due to malunion. To consistently obtain good aesthetic and functional results, the anatomic reduction of malunion sites of the nasal bone is important. The purpose of this study is to present an osteotomy technique, including refracture along malunion sites and anatomical reduction of a malformed nasal bone, for the correction of a posttraumatic deviated nose. METHODS: From March of 2003 to May of 2004, 27 patients, who underwent corrective rhinoplasty for the correction of bony pyramid deviation, were included in this study. Postoperative results of the technique were evaluated objectively at 1 year after surgery regarding nasal midline location, nose symmetry, and nasal contour.

Results
were rated as excellent, good, fair, or poor. All patients were also evaluated subjectively for cosmetic improvement, changes in breathing, and overall satisfaction.
RESULTS
Objective analysis of the outcomes revealed an excellent result in 17 patients(63%), good in 9(33%), and fair in 1 patient(4%). No case evaluated had a poor result. Regarding subjective analysis, 19 patients(70%) evaluated the cosmetic outcome as perfect. Among the 21 patients with preoperative airway problems, 19 patients(90%) reported improved breathing post-operatively. Patients' overall satisfaction levels were also very positive. No postoperative complications occurred during the 14 month mean follow-up period.
CONCLUSION
The osteotomy technique presented in this study is simple, effective, and safe for correcting posttraumatic nasal deviation, and also produces consistent results.

Keywords: Corrective rhinoplasty

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