Z-shaped asymmetric hump resection and unilateral osteotomy for treatment of deviated noses.

Ann Plast Surg

Department of Plastic and Reconstructive Surgery, İstanbul Medical Faculty İstanbul, Turkey.

Published: November 2010

AI Article Synopsis

  • The article examines the Z-shaped asymmetric hump resection method paired with unilateral osteotomy as a treatment for deviated nose deformities based on 58 cases treated from 2003 to 2009.
  • All patients underwent septoplasty, and the Z-shaped technique resulted in minimal swelling and bruising on the non-osteotomy side during early recovery.
  • The procedure was generally effective, with only 6.8% of patients requiring revision surgeries for complications such as mucosal synechiae or new injuries.

Article Abstract

Numerous techniques have been described to correct deviated nose deformities. This article discussed the Z-shaped asymmetric hump resection combined with unilateral osteotomy. Fifty-eight cases that we operated between 2003 and 2009 for deviated nose deformity were included in the study. In this study, septoplasty was performed in all patients, and hump was resected Z-shaped whereas osteotomy was carried out in a unilateral low to low fashion. Edema and periorbital ecchymosis were minimal on the nonosteotomy side in early postoperative period in all cases, and deviation was noted to be satisfactorily corrected in the late postoperative period. Three cases were reoperated in late stage for mucosal synechiae and 1 case for a new postoperative trauma (6.8% revision). Z-shaped asymmetric hump resection combined with unilateral osteotomy is one of the minimally traumatic methods that can safely be used to correct deviated nose.

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http://dx.doi.org/10.1097/SAP.0b013e3181d377edDOI Listing

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