Background: Osteotomies are important maneuvers in the plastic surgeon's arsenal for the nasal dorsum treatment. However, there is a concern regarding a possible medialization of the inferior turbinate's heads and narrowing of the internal nasal valve if the Webster's triangle is not preserved.
Objectives: To analyze the mobilization of the inferior turbinates during primary rhinoplasty after lateral osteotomies.
Methods: This is a retrospective study in which we analyzed 37 patients who underwent very low-to-low osteotomies in our service, during primary rhinoplasties. Axial and coronal computed tomography scans were obtained, and preoperative and 6 months postoperative images were compared with Radiant DICOM Viewer software (Medixant, Poznan, Poland) in 3-dimensional multiplanar reconstruction.
Results: There were no statistically significant differences between preoperative and postoperative measurements of the lower turbinate's osseous bases, both in axial ( = .305) and coronal ( = .08) images.
Conclusions: Low-to-low osteotomies showed no medialization of the inferior turbinate's heads or narrowing of the internal nasal valve in this study.
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http://dx.doi.org/10.1093/asjof/ojae079 | DOI Listing |
Aesthetic Plast Surg
October 2021
Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Background: Reduction rhinoplasties, regardless of the methods used (structural or preservation), can cause a reduction in the internal nasal volume, which may lead to breathing problems. In 1977, Webster proposed preserving a little triangle in the beginning of the lower lateral osteotomy line to prevent breathing problem. However, its importance is still controversial.
View Article and Find Full Text PDFJ Oral Maxillofac Surg
August 2020
Private Practitioner, Faculty of Dentistry, Borujerd Islamic Azad University, Borujerd, Iran.
Purpose: The periorbital area undergoes a series of postoperative sequelae after rhinoplasty.
Patients And Methods: Between January 2015 and January 2016, 50 patients aged between 19 and 46 years who underwent rhinoplasty qualified for the study. Of these patients, 25 were chosen for each group: One group underwent a low-to-low lateral nasal osteotomy, and the other group underwent a low-to-high lateral nasal osteotomy.
J Craniofac Surg
July 2019
Department of Otolaryngology and Head Neck Surgery, University of Uludag, Bursa, Turkey.
The crooked nose is certainly among the most difficult to treat deformities for rhinoplasty surgeons. This deformity is a complex problem because each structural nasal component can be effected and they may be asymmetric bilaterally. Despite the use of sophisticated techniques and an additional effort, unfortunately the long-term aesthetic results may not be perfect with some minor flaws.
View Article and Find Full Text PDFOrthod Craniofac Res
May 2019
Department of Dentistry, University of Alberta, Edmonton, Alberta, Canada.
Objective: To better understand the potential effects after corticotomy accelerated osteogenic orthodontic treatment (CAOOT).
Setting And Sample Population: Systematic review with meta-analysis.
Materials And Methods: A literature search up to August 2018 was conducted to identify randomized clinical studies (RCTs) on CAOOT reporting periodontal parameters, bone changes, patient-centred and short- and long-term adverse outcomes.
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