Different Approaches for Lateral Osteotomy in Rhinoplasty: A prospective study | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2024, Issue 7, July 2024 | ||||
| DOI: 10.58675/2682-339X.2553 | ||||
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| Authors | ||||
Mahmoud Nasef1; Mohamed Khalifa 1; Ibrahim Ibrahim2
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| 1Plastic surgery and Burns, Faculty of Medicine for boys, Al-Azhar University, Cairo, Egypt | ||||
| 2Plastic surgery and Burns, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: Rhinoplasty is the most prevalent cosmetic procedure performed globally. Lateral osteotomy is a part of rhinoplasty that is achieved at the end of it and following modification of the nasal hump and tip. Aim and objectives: To assess the significance of postoperative edema and ecchymosis of different approaches for lateral osteotomy in rhinoplasty and to evaluate the learning curve and operative time to each approach. Patients and methods: This prospective research was done on 21 cases with primary nasal deformity who underwent one of three approaches: Transcutaneous perforating lateral osteotomy, Endonasal continuous lateral osteotomy or Visible lateral osteotomy in the university hospitals, Faculty of Medicine, Al-Azhar university and private clinics. Results: There was no significant variance among the three approaches concerning complications. There was a significant improvement in the 3 approaches, which increased over time. In the Transcutaneous approach, the operative time was 2.6 ± 0.1. Four patients had fast, two with medium and 1 with a slow learning curve. In the Endonasal approach, the operative time was 3.4 ± 0.2. One patient had a fast, six had a medium, and 0 had a slow learning curve. In the visible approach, the operative time was 4.6 ± 0.4. Two patients had a fast learning curve, one had a medium, and 4 had a slow learning curve. Conclusion: Transcutaneous, Endonasal and Visible lateral osteotomy can be effective techniques for rhinoplasty, and osteotomy type did not affect edema and ecchymosis and should follow a general rule. | ||||
| Keywords | ||||
| Lateral Osteotomy; Rhinoplasty; ecchymosis | ||||
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