Correction of the Crooked Nose

Newberry, Christopher Ian; Mobley, Steven Ross

doi:10.1055/s-0038-1672142

Cited by 12 publications

(4 citation statements)

References 18 publications

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“…A crooked nose is a challenge for rhinoplasty surgeons who desire good functional and esthetic results. 28,29 In general, this is attributed to a complex septal deviation, asymmetric nasal bones, and cartilages, but can also be part of an asymmetric face. Trauma, previous surgery, or congenital deformities can cause a twisted nose.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Determinants of Postoperative Satisfaction After Rhinoplasty

et al. 2021

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Objectives/Hypothesis: To analyze different variables that influence postrhinoplasty quality of life outcomes to ascertain the determinants of postoperative satisfaction.Study Design: Prospective, observational study.Methods: This was a prospective, observational study where patients were divided into two groups based on the postoperative Rhinoplasty Outcome Evaluation (ROE) score: high satisfaction group, when postoperative ROE scores were >50, and low satisfaction group, when postoperative ROE scores were ≤50. Patients' general characteristics, Portuguese version of the Nasal Obstruction Symptom Evaluation (NOSE-p) score, the Body Dysmorphic Disorder Examination, nasal angles, and measures from the esthetic facial analysis of postoperative photographs were compared between the groups.Results: Seventy-eight patients were included: 19 in the low satisfaction group and 58 in the high satisfaction group. The median reduction in the NOSE-p score was À45 (interquartile range [IIQ] À20 to À60) (P < .001) in the high satisfaction group and À10 (IIQ À10 to À30) in the low satisfaction group (P = .053). The high satisfaction group had a significantly higher reduction in NOSE-p scores. There was no significant difference between the groups in terms of the analyzed facial parameters, although a significant difference was found when comparing them with the ones established in the literature as a pattern. Previous rhinoplasty, preoperative crooked nose, and higher NOSE-p scores were significantly associated with lower ROE scores (P < .05) in the robust Poisson regression model.Conclusion: Functional results play an important role in satisfaction after rhinoplasty. Neoclassical canons were not fulfilled even in a group of patients with a high postoperative satisfaction evaluation.

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Section: Discussionmentioning

confidence: 99%

Analysis of Determinants of Postoperative Satisfaction After Rhinoplasty

et al. 2021

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“…Specifically, the medial movement of the nasal bone through the osteotomy allows the pyramid to be reconstructed to normal 4 . The osteotomy aims to straighten a deviated dorsum, close or open the nasal vault, and narrow the width of the nasal dorsum 11 . A fracture that is too low can lead to lateral depression of the nasal pyramid, and an incomplete medial fracture can lead to asymmetric lateral displacement of the nasal bone over time 12 …”

Section: Discussionmentioning

confidence: 99%

Method of Lateral Osteotomy to Reduce Eyelid Edema and Ecchymosis After Rhinoplasty: A Meta‐analysis

Kim

Hwang

2020

The Laryngoscope

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Objectives Although lateral osteotomy is an important part of rhinoplasty, it is known to be closely associated with postoperative eyelid edema and ecchymosis after rhinoplasty. There is no consensus on which osteotomy methods are effective in reducing morbidity from rhinoplasty. This study compared the effects of different osteotomy methods on edema and ecchymosis after lateral osteotomy using a meta‐analysis. Study Design A literature search using MEDLINE, SCOPUS, and Cochrane databases. Methods Two authors independently reviewed the databases published until May 2019. Randomized controlled trials that compared lateral osteotomy methods (external approach) with different methods (internal approach), for which the outcomes of interest were mucosal injury, edema, and ecchymosis on postoperative days, were included. Sufficient data for meta‐analysis was found in six studies with a total of 224 patients. Results In a comparison of the external approach with the internal approach, mucosal injury was significantly lower in the external approach (odds ratio = 0.41; 95% confidence interval = [0.11; 0.99], I2 = 29%). There were significant differences between the external and internal approach in eyelid ecchymosis and edema, except for eyelid ecchymosis at 7 days postoperatively. However, all significant results showed a small effect size with a standardized mean difference near 0.2. Conclusions The external approach during lateral osteotomy had no significant advantage in edema and ecchymosis compared to the internal approach. Further studies with good research methodology should be carried out to determine the effect on the postoperative complications of different lateral osteotomy methods. Laryngoscope, 131:54–58, 2021

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“…In particular, medial movement of the nasal bone via osteotomy allows the pyramid to be reconstructed to its normal condition [ 10 ]. Osteotomy is performed with the goals of straightening a deviated dorsum, narrowing the nasal dorsum, and opening the nasal vault [ 11 ]. Eyelid edema and ecchymosis, which are the most common postoperative complications of osteotomy, can be caused by damage to arteries or veins and soft tissue injuries during lateral osteotomy [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Periosteal Elevation Before Lateral Osteotomy in Rhinoplasty: A Meta-Analysis of Randomized Controlled Trials

Kim

Lee

et al. 2020

Clin Exp Otorhinolaryngol

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Objectives. Although osteotomy is an important part of rhinoplasty, it is known to be closely related to postoperative eyelid edema and ecchymosis. We aimed to evaluate the effects of periosteal elevation prior to osteotomy on eyelid edema and ecchymosis.Methods. Two authors reviewed studies in the Medline, Scopus, and Cochrane databases published through May 2019. Randomized controlled trials comparing periosteal elevation (subperiosteal tunneling) with periosteal preservation that reported eyelid edema or ecchymosis or subconjunctival hemorrhage as outcomes of interest were included. From each study, the baseline characteristics of the study subjects, the quality of the study, the number of patients in the treatment and control groups, and outcomes were extracted.Results. Data for meta-analysis were identified in six studies with a total of 208 patients. Eyelid ecchymosis and edema within 3 days postoperatively were significantly more common in the periosteal elevation group than in the preservation group, although such an association was not found for edema on postoperative day 7 (standardized mean difference [SMD], 0.21; 95% confidence interval [CI], –0.09 to 0.50; I<sup>2</sup> =0%). There was no significant difference in subconjunctival hemorrhage on day 1 (SMD, 0.31; 95% CI, –0.09 to 0.72; I<sup>2</sup> =0%).Conclusion. Periosteal preservation during lateral osteotomy may reduce eyelid edema and ecchymosis compared to periosteal elevation. Further studies with rigorous research methods should be carried out to determine the effectiveness of different techniques in lateral osteotomy.

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Correction of the Crooked Nose

Cited by 12 publications

References 18 publications

Analysis of Determinants of Postoperative Satisfaction After Rhinoplasty

Analysis of Determinants of Postoperative Satisfaction After Rhinoplasty

Method of Lateral Osteotomy to Reduce Eyelid Edema and Ecchymosis After Rhinoplasty: A Meta‐analysis

Effects of Periosteal Elevation Before Lateral Osteotomy in Rhinoplasty: A Meta-Analysis of Randomized Controlled Trials

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