Research Article
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Açık teknik rinoplasti sonrası nazal kasların burun tıkanıklığındaki rolünün araştırılması: Elektromiyografik değerlendirme ile bir vaka kontrol çalışması

Year 2020, Volume: 4 Issue: 3, 207 - 211, 01.03.2020
https://doi.org/10.28982/josam.702532

Abstract

Amaç: Rinoplastinin nazal kaslar üzerine etkisi elektromyografi (EMG) veya elektronöronografi ile çalışılmış olsa da, rinoplasti operasyonu sonrası burun tıkanıklığında nazal kasların rolü henüz araştırılmamıştır. Bu nedenle bu çalışmanın amacı açık rinoplastinin nazal kaslar üzerine etkilerini incelemek nazal kasların operasyon sonrası burun tıkanıklığındaki rolünü ortaya koymaktır.
Yöntem: Çalışmaya eksternal nazal deformite nedeniyle tek bir cerrah tarafından açık teknik rinoplasti uygulanan otuz beş hasta dahil edilmiştir. Hastalar cerrahiden altı ay sonra; burun tıkanıklığı olan çalışma grubu ve burun tıkanıklığı olmayan kontrol grubu olmak üzere iki gruba ayrılmıştır. Tüm hastalara rinoplasti öncesi ve sonrasında m. procerus, m. transversus nasalis ve m. dilator aktivitelerinin ölçülmesi için EMG uygulanmıştır.
Bulgular: Burun tıkanıklığı olan hastalarda m. transversus nasalis ve m. dilator kaslarının amplitüdlerinin burun tıkanıklığı olmayanlara göre anlamlı düzeyde düşük olduğu saptandı (srasıyla; P=0,01, P=0,003). Cerrahi sonrası tüm hastalarda nazal kasların elektromiyografik aktivitesi cerrahi öncesi amplitüdleri ile kıyaslandığında anlamlı düşüş gösterdi.
Sonuç: Bu çalışma nazal kasların veya SMAS’ın açık teknik rinoplasti ile hasar görebileceğini; bu hasarın sonucunda (özellikle m. transversus nasalis ve m. dilator) nazal solunumun etkilenebileceğini ve cerrahi sonrası burun tıkanıklığı gelişebileceğini ortaya koymaktadır. Rinoplasti operasyonu süresince bu kasların ve SMAS’ın korunması cerrahi sonrası burun tıkanıklığı insidansını düşürebilir.

Thanks

Bahat hastanesi ve İstanbul Yeni Yüzyıl Üniversitesi yetkililerine gösterdikleri ilgi için teşekkür ederim.

References

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  • 2. Bagheri SC, Khan HA, Jahangirnia A, Rad SS, Mortazavi H. An analysis of 101 primary cosmetic rhinoplasties. Journal of Oral and Maxillofacial Surgery. 2012;70(4):902-9.
  • 3. Bermüller C, Schulz M. Effects of D-DRG system on hospital financing on the example of septorhinoplasty. Laryngo-rhino-otologie. 2011;90(3):157-61.
  • 4. Thomson C, Mendelsohn M. Reducing the incidence of revision rhinoplasty. Journal of Otolaryngology. 2007;36(2):130-4.
  • 5. Hoeyberghs JL, Desta K, Matthews RN. The lost muscles of the nose. Aesthetic Plast Surg. 1996;20(2):165-9.
  • 6. Letourneau A, Daniel R. The superficial musculoaponeurotic system of the nose. Plastic and Reconstructive Surgery. 1988;82(1):48-57.
  • 7. Bruintjes TD, Van Olphen AF, Hillen B, Huizing EH. A functional anatomic study of the relationship of the nasal cartilages and muscles to the nasal valve area. The Laryngoscope. 1998;108(7):1025-32.
  • 8. Safe I, Sadek EY. Surgical importance of nasal SMAS in open rhinoplasty. Egyptian J Plast Reconstr Surg. 2010;34(1):135-8.
  • 9. Clark M, Greenfield B, Hunt N, Hall-Craggs M, McGrouther D. Function of the nasal muscles in normal subjects assessed by dynamic MRI and EMG: its relevance to rhinoplasty surgery. Plastic and Reconstructive Surgery. 1998;101(7):1945-55.
  • 10. Bruintjes T, Van Olphen A, Hillen B, Weijs W. Electromyography of the human nasal muscles. European Archives of Oto-rhino-laryngology. 1996;253(8):464-9.
  • 11. Ozturan O, Ozcan C, Miman MC. Intrinsic nasal muscles and their electromyographic evaluation after external septorhinoplasty. Otolaryngology—Head and Neck Surgery. 2001;125(4):332-8.
  • 12. Thumfart W, Masing H, Abelein R. Electromyography in rhinoplasty. Rhinology. 1983;21(2):115-9.
  • 13. Kırgezen T, Yigit O, Taskin U, Cakir ZA, Adatepe T. Electromyographic and electroneurographic changes in internal nasal muscles after endonasal and external rhinoplasty. Aesthetic Surgery Journal. 2011;31(3):297-301.
  • 14. Batioglu-Karaaltin A, Karaaltin MV, Uzun N, Adatepe T, Ozdemir G, Ertas B. Effects of open technique rhinoplasty on mimicry: electroneurographic evaluation. Journal of Craniofacial Surgery. 2015;26(4):1348-51.

Investigating the role of nasal muscles in nasal obstruction after open technique rhinoplasty: A case-control study by electromyographic evaluation

Year 2020, Volume: 4 Issue: 3, 207 - 211, 01.03.2020
https://doi.org/10.28982/josam.702532

Abstract

Aim: Although the effects of rhinoplasty on nasal muscles by electromyography (EMG) or electroneuronography have been studied, the role of the nasal muscles in nasal obstruction after rhinoplasty operations has not yet been investigated. The aims of this study were to investigate the influence of the open rhinoplasty on nasal muscles and to reveal the role of the nasal muscles in post-operative nasal obstruction.
Methods: Thirty-five patients who underwent open technique rhinoplasty by a single surgeon due to external nasal deformity were included in the study. The patients were divided into two groups six months after the surgery: Study group with nasal obstruction and control group without nasal obstruction. EMG was performed to all patients for the activity of M. procerus, M. transversus nasalis and M. dilator before and after rhinoplasty.
Results: It was observed that the amplitudes of M. transversus nasalis and M. dilator muscles in the patients with nasal obstruction were significantly lower than the patients without nasal obstruction (P=0.01, P=0.003, respectively). Post-operative electromyographic activities of nasal muscles significantly decreased in all patients compared to pre-operative amplitudes.
Conclusion: This study demonstrated that nasal muscles or SMAS may be damaged during open technique rhinoplasty and as a result of this damage (especially in M. transversus nasalis and M. dilator) nasal respiration can be affected, which may lead to post-operative nasal obstruction. Preservation of these muscles and SMAS during rhinoplasty operations may reduce the incidence of post-operative nasal obstruction.

References

  • 1. Surgeons ASoP. 2018 Plastic surgery statistics 2019 [03.01.2020]. Available from: https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-full-report-2018.pdf.
  • 2. Bagheri SC, Khan HA, Jahangirnia A, Rad SS, Mortazavi H. An analysis of 101 primary cosmetic rhinoplasties. Journal of Oral and Maxillofacial Surgery. 2012;70(4):902-9.
  • 3. Bermüller C, Schulz M. Effects of D-DRG system on hospital financing on the example of septorhinoplasty. Laryngo-rhino-otologie. 2011;90(3):157-61.
  • 4. Thomson C, Mendelsohn M. Reducing the incidence of revision rhinoplasty. Journal of Otolaryngology. 2007;36(2):130-4.
  • 5. Hoeyberghs JL, Desta K, Matthews RN. The lost muscles of the nose. Aesthetic Plast Surg. 1996;20(2):165-9.
  • 6. Letourneau A, Daniel R. The superficial musculoaponeurotic system of the nose. Plastic and Reconstructive Surgery. 1988;82(1):48-57.
  • 7. Bruintjes TD, Van Olphen AF, Hillen B, Huizing EH. A functional anatomic study of the relationship of the nasal cartilages and muscles to the nasal valve area. The Laryngoscope. 1998;108(7):1025-32.
  • 8. Safe I, Sadek EY. Surgical importance of nasal SMAS in open rhinoplasty. Egyptian J Plast Reconstr Surg. 2010;34(1):135-8.
  • 9. Clark M, Greenfield B, Hunt N, Hall-Craggs M, McGrouther D. Function of the nasal muscles in normal subjects assessed by dynamic MRI and EMG: its relevance to rhinoplasty surgery. Plastic and Reconstructive Surgery. 1998;101(7):1945-55.
  • 10. Bruintjes T, Van Olphen A, Hillen B, Weijs W. Electromyography of the human nasal muscles. European Archives of Oto-rhino-laryngology. 1996;253(8):464-9.
  • 11. Ozturan O, Ozcan C, Miman MC. Intrinsic nasal muscles and their electromyographic evaluation after external septorhinoplasty. Otolaryngology—Head and Neck Surgery. 2001;125(4):332-8.
  • 12. Thumfart W, Masing H, Abelein R. Electromyography in rhinoplasty. Rhinology. 1983;21(2):115-9.
  • 13. Kırgezen T, Yigit O, Taskin U, Cakir ZA, Adatepe T. Electromyographic and electroneurographic changes in internal nasal muscles after endonasal and external rhinoplasty. Aesthetic Surgery Journal. 2011;31(3):297-301.
  • 14. Batioglu-Karaaltin A, Karaaltin MV, Uzun N, Adatepe T, Ozdemir G, Ertas B. Effects of open technique rhinoplasty on mimicry: electroneurographic evaluation. Journal of Craniofacial Surgery. 2015;26(4):1348-51.
There are 14 citations in total.

Details

Primary Language English
Subjects Otorhinolaryngology
Journal Section Research article
Authors

Ali Seyed Resuli 0000-0002-4262-1302

Sureyya Ataus This is me 0000-0002-0606-9602

Publication Date March 1, 2020
Published in Issue Year 2020 Volume: 4 Issue: 3

Cite

APA Seyed Resuli, A., & Ataus, S. (2020). Investigating the role of nasal muscles in nasal obstruction after open technique rhinoplasty: A case-control study by electromyographic evaluation. Journal of Surgery and Medicine, 4(3), 207-211. https://doi.org/10.28982/josam.702532
AMA Seyed Resuli A, Ataus S. Investigating the role of nasal muscles in nasal obstruction after open technique rhinoplasty: A case-control study by electromyographic evaluation. J Surg Med. March 2020;4(3):207-211. doi:10.28982/josam.702532
Chicago Seyed Resuli, Ali, and Sureyya Ataus. “Investigating the Role of Nasal Muscles in Nasal Obstruction After Open Technique Rhinoplasty: A Case-Control Study by Electromyographic Evaluation”. Journal of Surgery and Medicine 4, no. 3 (March 2020): 207-11. https://doi.org/10.28982/josam.702532.
EndNote Seyed Resuli A, Ataus S (March 1, 2020) Investigating the role of nasal muscles in nasal obstruction after open technique rhinoplasty: A case-control study by electromyographic evaluation. Journal of Surgery and Medicine 4 3 207–211.
IEEE A. Seyed Resuli and S. Ataus, “Investigating the role of nasal muscles in nasal obstruction after open technique rhinoplasty: A case-control study by electromyographic evaluation”, J Surg Med, vol. 4, no. 3, pp. 207–211, 2020, doi: 10.28982/josam.702532.
ISNAD Seyed Resuli, Ali - Ataus, Sureyya. “Investigating the Role of Nasal Muscles in Nasal Obstruction After Open Technique Rhinoplasty: A Case-Control Study by Electromyographic Evaluation”. Journal of Surgery and Medicine 4/3 (March 2020), 207-211. https://doi.org/10.28982/josam.702532.
JAMA Seyed Resuli A, Ataus S. Investigating the role of nasal muscles in nasal obstruction after open technique rhinoplasty: A case-control study by electromyographic evaluation. J Surg Med. 2020;4:207–211.
MLA Seyed Resuli, Ali and Sureyya Ataus. “Investigating the Role of Nasal Muscles in Nasal Obstruction After Open Technique Rhinoplasty: A Case-Control Study by Electromyographic Evaluation”. Journal of Surgery and Medicine, vol. 4, no. 3, 2020, pp. 207-11, doi:10.28982/josam.702532.
Vancouver Seyed Resuli A, Ataus S. Investigating the role of nasal muscles in nasal obstruction after open technique rhinoplasty: A case-control study by electromyographic evaluation. J Surg Med. 2020;4(3):207-11.