WORLD JOURNAL OF PLASTIC SURGERY
Sat, May 18, 2024
[Archive]
Volume 13, Issue 1 (2024)
WJPS 2024, 13(1): 65-70 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Hemmati E, Moaref pour R, Masudrad M, Sametzade M. Comparison of the Effect of Two Low to High Lateral Osteotomy Methods, Percutaneous and Internal On the Tear Trough and Scleral Show in Patients Undergoing Esthetic Open Rhinoplasty. WJPS 2024; 13 (1) :65-70
URL: http://wjps.ir/article-1-1238-en.html
URL: http://wjps.ir/article-1-1238-en.html
1- Department of Maxillofacial Surgery, Faculty of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Department of Maxillofacial Surgery, Faculty of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , maryammoarefpour@gmail.com
3- Department of Oral and Maxillofacial Surgery, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran
4- Department of Radiology, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- Department of Maxillofacial Surgery, Faculty of Dentistry, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , maryammoarefpour@gmail.com
3- Department of Oral and Maxillofacial Surgery, Ahvaz Jundishapour University of Medical Sciences, Ahvaz, Iran
4- Department of Radiology, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract: (507 Views)
Background: We aimed to compare the effect of two low to high lateral osteotomy methods, percutaneous and internal on the tear trough and scleral show in patients undergoing esthetic open rhinoplasty.
Methods: This prospective single-blind randomized clinical trial study was conducted on 80 patients in two groups of 40 candidates for rhinoplasty surgery referred to Imam Khomeini Hospital in Ahvaz, southern Iran in 2021. In the first group, lateral osteotomy was performed internally and in the other group, percutaneously. Then, the changes in tear trough and scleral show before surgery, one and three months after surgery were compared between two groups.
Results: The median of the medial limbus in the percutaneous group was about 0.38 higher than the internal group, but no significant difference was observed (P=0.322). Moreover, the median medial canthus in the percutaneous group compared to the internal group had no statistically significant difference (P=0.163). There was no significant difference in the average lateral limbus changes between the two groups (P=0.389). The median scleral show in all times before surgery, one and three months after surgery in the percutaneous group was higher than in the internal group, but the differences were not significant. In addition, the median scleral show changes before and three months after surgery in the percutaneous group were not remarkably different from the internal group (P=0.290).
Conclusion: Both techniques are almost similar in terms of periorbital effect after surgery in the early stages and 3 months after surgery. More multicenter studies with higher sample size and longer follow-up period seem necessary.
Methods: This prospective single-blind randomized clinical trial study was conducted on 80 patients in two groups of 40 candidates for rhinoplasty surgery referred to Imam Khomeini Hospital in Ahvaz, southern Iran in 2021. In the first group, lateral osteotomy was performed internally and in the other group, percutaneously. Then, the changes in tear trough and scleral show before surgery, one and three months after surgery were compared between two groups.
Results: The median of the medial limbus in the percutaneous group was about 0.38 higher than the internal group, but no significant difference was observed (P=0.322). Moreover, the median medial canthus in the percutaneous group compared to the internal group had no statistically significant difference (P=0.163). There was no significant difference in the average lateral limbus changes between the two groups (P=0.389). The median scleral show in all times before surgery, one and three months after surgery in the percutaneous group was higher than in the internal group, but the differences were not significant. In addition, the median scleral show changes before and three months after surgery in the percutaneous group were not remarkably different from the internal group (P=0.290).
Conclusion: Both techniques are almost similar in terms of periorbital effect after surgery in the early stages and 3 months after surgery. More multicenter studies with higher sample size and longer follow-up period seem necessary.
References
1. Keyhan SO, Fallahi HR, Fattahi T, Nourbakhshian F, Cheshmi B. Impact of 2 Lateral Nasal Osteotomy Techniques on the Periorbital Subunits. J Oral Maxillofac Surg 2020;78(8):1416. e1-. e9. [DOI:10.1016/j.joms.2020.03.018]
2. Nasser NA. Rhinoplasty. In: Bonanthaya K, Panneerselvam E, Manuel S, Kumar VV, Rai A, editors. Oral and Maxillofacial Surgery for the Clinician. Singapore: Springer Nature Singapore; 2021. p. 775-813. [DOI:10.1007/978-981-15-1346-6_38]
3. Bohluli B, Moharamnejad N, Bayat M. Dorsal hump surgery and lateral osteotomy. Oral and Maxillofacial Surgery Clinics 2012;24(1):75-86. [DOI:10.1016/j.coms.2011.10.005]
4. Tebbetts JB. Primary rhinoplasty: a new approach to the logic and the technicques. (No Title) 1998.
5. Giacomarra V, Russolo M, Arnez Z, Tirelli G. External osteotomy in rhinoplasty. The laryngoscope 2001;111(3):433-8. [DOI:10.1097/00005537-200103000-00011]
6. Fanous N, Amar YG. Narrowing of the wide nasal dorsum in the 'minimal-hump'nose: A simplified universal approach. Canadian Journal of Plastic Surgery 2005;13(3):139-43. [DOI:10.1177/229255030501300303]
7. Motamed S, Saberi A, Niazi F, Molaei H. Complications of Internal Continuous and Perforating External Osteotomy in Primary Rhinoplasty. World J Plast Surg 2017 May;6(2):164-9.
8. Rho BI, Lee IH, Park ES. Visible perforating lateral osteotomy: internal perforating technique with wide periosteal dissection. Arch Plast Surg 2016;43(01):88-92. [DOI:10.5999/aps.2016.43.1.88]
9. Hontanilla B, Cabello A, Olivas J. A predictable approach for osteotomy in rhinoplasty: a new concept of open external osteotomy. Plastic and Reconstructive Surgery Global Open 2016;4(6). [DOI:10.1097/GOX.0000000000000738]
10. Ghanaatpisheh M, Sajjadian A, Daniel RK. Superior rhinoplasty outcomes with precise nasal osteotomy: an individualized approach for maintaining function and achieving aesthetic goals. Aesthet Surg J 2015;35(1):28-39. [DOI:10.1093/asj/sju013]
11. Gubisch W, Dacho A. Aesthetic rhinoplasty plus brow, eyelid and conchal surgery: pitfalls-complications-prevention. GMS Current Topics in Otorhinolaryngology, Head and Neck Surgery 2013;12.
12. Ford CN, Battaglia DG, Gentry LR. Preservation of periosteal attachment in lateral osteotomy. Ann Plast Surg 1984;13(2):107-11. [DOI:10.1097/00000637-198408000-00003]
13. Gholami M, Vaezi A. Comparison of the effects of external and internal lateral nasal osteotomies on ecchymosis, periorbital edema, and step off deformity after rhinoplasty. World J Plast Surg 2019;8(3):345.
14. Yücel Ö. Which type of osteotomy for edema and ecchymosis: external or internal? Ann Plast Surg 2005;55(6):587-90. [DOI:10.1097/01.sap.0000185396.94875.4a]
15. Jahromi A M. Comparison between external and internal lateral osteotomy regarding postoperative edema and ecchymosis in rhinoplasty. 2006.
16. Sakallioglu Ö, Cingi C, Polat C, Soylu E, Akyigit A, Soken H. Open versus closed septorhinoplasty approaches for postoperative edema and ecchymosis. J Craniofac Surg 2015;26(4):1334-7. [DOI:10.1097/SCS.0000000000001715]
17. Gryskiewicz JM, Gryskiewicz KM. Nasal osteotomies: a clinical comparison of the perforating methods versus the continuous technique. Plast Reconstr Surg 2004;113(5):1445-56. [DOI:10.1097/01.PRS.0000113031.67600.B9]
18. Shaygan M, yadegari A, khorami B. Comparison of post-operative edema and ecchymosis between external and internal osteotomy after rhinoplasty. J Res Dental Scis 2018;14(4):186-93.
19. Caglar E, Celebi S, Topak M, Develioglu NO, Yalcin E, Kulekci M. How can periorbital oedema and ecchymose be reduced in rhinoplasty? Eur Arch Otorhinolaryngol 2016;273:2549-54. [DOI:10.1007/s00405-016-3907-7]
20. Kiliç C, Tuncel Ü, Cömert E, Sencan Z. Effect of the rhinoplasty technique and lateral osteotomy on periorbital edema and ecchymosis. J Craniofac Surg 2015;26(5):e430-e3. [DOI:10.1097/SCS.0000000000001885]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
