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Approaches to twisted noses and results of treatment

Year 2002, Volume: 9 Issue: 1, 21 - 29, 03.01.2002

Orhan Özturan Murat Cem Miman Bahri Yiğit Yaşar Çokkeser Ahmet Kızılay Davut Aktaş

Abstract

Objectives: The aim of this study was to address the multiplicity of surgical techniques and pitfalls in the treatment of twisted noses.Patients and Methods: Fifty-nine patients 43 males, 16 females; mean age 27 years; range 17 to 47 years with vertical axis deviation of the nose were surgically treated. Thirty patients had C-type and 29 patients had l-type twisted noses. Deviation angles were measured before and at least six months after the operation. Correction of deviations was graded according to the ideal angular values and the two groups were compared.Results: Significant correction was achieved in both types of twisted noses p<0.01 . The results of the I- twisted noses were significantly closer to the ideal angles compared to those of the C-twisted noses p<0.05 . Three patients underwent revision surgery.Conclusion: To correct functional and aesthetic problems in twisted noses, an external approach can be employed to straighten the nose by releas- ing, mobilizing, aligning and reinforcing the nasal anatomic structures. Cartilage grafts may be used to camouflage persistent deformities. C-twisted noses require more experience in, and familiarization with, a large number of surgical techniques.

Keywords

Cartilage/surgery nasal bone/surgery/abnormalities nasal septum/surgery/abnormalities nose/anatomy & histology/abnormalities/surgery nose deformities acguired/surgery rhinoplasty/methods

References

  • Ellis DA, Gilbert RW. Analysis and correction of the crooked nose. J Otolaryngol 1991;20:14-8.
  • TerKonda RP, Sykes JM. Repairing the twisted nose. Otolaryngol Clin North Am 1999;32:53-64.
  • H o ffmann JF. Management of the twisted nose. Operative Techniques in Otolaryngology-Head and Neck Surgery 1999;10:232-7.
  • Ramirez OM, Pozner JN. The severely twisted nose. Treatment by separation of its components and inter- nal cartilage splinting. Clin Plast Surg 1996;23:327-40.
  • Byrd HS, Salomon J, Flood J. Correction of the crooked nose. Plast Reconstr Surg 1998;102:2148-57.
  • Constantian MB. Four common anatomic variants that predispose to unfavorable rhinoplasty results: a study based on 150 consecutive secondary rh i n o p l a s t i e s . Plast Reconstr Surg 2000;105:316-31.
  • Toriumi DM, Ries WR. Innovative surgical manage- ment of the crooked nose. Fac Plast Surg Clin North Am 1993;1:63-78.
  • Vuyk HD. A review of practical guidelines for correc- tion of the deviated, asymmetric nose. Rhinology 2000; 38:72-8.
  • Çerkefl N. İleri derecede deviye burunlarda septumun total eksizyonu ve serbest greft olarak yerlefltirilmesi. KBB İhtisas Dergisi 1995;2:355-8.
  • Gunter JP, Rohrich RJ. Management of the deviated nose. The importance of septal reconstruction. Clin Plast Surg 1988;15:43-55.
  • M u s t a rde JC. The treatment of prominent ears by buried m a t t ress sutures: a ten-year survey. Plast Reconstr Surg 1 9 6 7 ; 3 9 : 3 8 2 - 6 .
  • Tebbetts JB. Rethinking the logic and techniques of pri- mary tip rhinoplasty. A perspective of the evolution of surgery of the nasal tip. Clin Plast Surg 1996;23:245-53.
  • Gunter JP, Rohrich RJ. Correction of the pinched nasal tip with alar spreader grafts. Plast Reconstr Surg 1992; 90:821-9.
  • Özturan O, Aktafl D, Miman MC, Kalcıoğlu T. Alt konka hipertrofisi için submukozal koterizasyon veya inferior turbinoplasti. KBB Klinikleri 2000;2:148-54.

Çarpık burunlara yaklaşım ve sonuçlarımız

Year 2002, Volume: 9 Issue: 1, 21 - 29, 03.01.2002

Orhan Özturan Murat Cem Miman Bahri Yiğit Yaşar Çokkeser Ahmet Kızılay Davut Aktaş

Abstract

Amaç: Çarpık burunlu olguların tedavisinde uygulanan ve çok çeflitlilik gösteren cerrahi tekniklere vesorunlara dikkat çekmek amaçlandı.Hastalar ve Yöntemler: Burun vertikal aksında deviasyon olan 59 olgu cerrahi olarak tedavi edildi. Otuz olguda C-, 29’unda I- tipinde çarpık burun vardı. Ameliyat öncesinde ve ameliyattan en az altı ay sonraçekilen anterior yüz fotoğrafları üzerinde deviasyonaçıları ölçüldü. Her iki gruptaki olgularda ulaflılan bafları düzeyi, ideal açıya yaklaflım oranlarına göre derecelendirildi ve karflılafltırma yapıldı.Bulgular: Her iki tipteki çarpık burunlarda, açılardaki düzelme çok anlamlı bulundu p

Keywords

Kıkırdak/cerrahi burun kemiği/cerrahi/anormallik nazal septum/cerrahi/anormallik burun/anatomive histoloji/anormallik/cerrahi burun deformiteleri edinsel/cerrahi rinoplasti/yöntem

References

  • Ellis DA, Gilbert RW. Analysis and correction of the crooked nose. J Otolaryngol 1991;20:14-8.
  • TerKonda RP, Sykes JM. Repairing the twisted nose. Otolaryngol Clin North Am 1999;32:53-64.
  • H o ffmann JF. Management of the twisted nose. Operative Techniques in Otolaryngology-Head and Neck Surgery 1999;10:232-7.
  • Ramirez OM, Pozner JN. The severely twisted nose. Treatment by separation of its components and inter- nal cartilage splinting. Clin Plast Surg 1996;23:327-40.
  • Byrd HS, Salomon J, Flood J. Correction of the crooked nose. Plast Reconstr Surg 1998;102:2148-57.
  • Constantian MB. Four common anatomic variants that predispose to unfavorable rhinoplasty results: a study based on 150 consecutive secondary rh i n o p l a s t i e s . Plast Reconstr Surg 2000;105:316-31.
  • Toriumi DM, Ries WR. Innovative surgical manage- ment of the crooked nose. Fac Plast Surg Clin North Am 1993;1:63-78.
  • Vuyk HD. A review of practical guidelines for correc- tion of the deviated, asymmetric nose. Rhinology 2000; 38:72-8.
  • Çerkefl N. İleri derecede deviye burunlarda septumun total eksizyonu ve serbest greft olarak yerlefltirilmesi. KBB İhtisas Dergisi 1995;2:355-8.
  • Gunter JP, Rohrich RJ. Management of the deviated nose. The importance of septal reconstruction. Clin Plast Surg 1988;15:43-55.
  • M u s t a rde JC. The treatment of prominent ears by buried m a t t ress sutures: a ten-year survey. Plast Reconstr Surg 1 9 6 7 ; 3 9 : 3 8 2 - 6 .
  • Tebbetts JB. Rethinking the logic and techniques of pri- mary tip rhinoplasty. A perspective of the evolution of surgery of the nasal tip. Clin Plast Surg 1996;23:245-53.
  • Gunter JP, Rohrich RJ. Correction of the pinched nasal tip with alar spreader grafts. Plast Reconstr Surg 1992; 90:821-9.
  • Özturan O, Aktafl D, Miman MC, Kalcıoğlu T. Alt konka hipertrofisi için submukozal koterizasyon veya inferior turbinoplasti. KBB Klinikleri 2000;2:148-54.
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Orhan Özturan This is me

Murat Cem Miman This is me

Bahri Yiğit This is me

Yaşar Çokkeser This is me

Ahmet Kızılay This is me

Davut Aktaş This is me

Publication Date January 3, 2002
Published in Issue Year 2002 Volume: 9 Issue: 1

Cite

APA Özturan, O., Miman, M. C., Yiğit, B., Çokkeser, Y., et al. (2002). Çarpık burunlara yaklaşım ve sonuçlarımız. The Turkish Journal of Ear Nose and Throat, 9(1), 21-29.
AMA Özturan O, Miman MC, Yiğit B, Çokkeser Y, Kızılay A, Aktaş D. Çarpık burunlara yaklaşım ve sonuçlarımız. Tr-ENT. January 2002;9(1):21-29.
Chicago Özturan, Orhan, Murat Cem Miman, Bahri Yiğit, Yaşar Çokkeser, Ahmet Kızılay, and Davut Aktaş. “Çarpık Burunlara yaklaşım Ve sonuçlarımız”. The Turkish Journal of Ear Nose and Throat 9, no. 1 (January 2002): 21-29.
EndNote Özturan O, Miman MC, Yiğit B, Çokkeser Y, Kızılay A, Aktaş D (January 1, 2002) Çarpık burunlara yaklaşım ve sonuçlarımız. The Turkish Journal of Ear Nose and Throat 9 1 21–29.
IEEE O. Özturan, M. C. Miman, B. Yiğit, Y. Çokkeser, A. Kızılay, and D. Aktaş, “Çarpık burunlara yaklaşım ve sonuçlarımız”, Tr-ENT, vol. 9, no. 1, pp. 21–29, 2002.
ISNAD Özturan, Orhan et al. “Çarpık Burunlara yaklaşım Ve sonuçlarımız”. The Turkish Journal of Ear Nose and Throat 9/1 (January 2002), 21-29.
JAMA Özturan O, Miman MC, Yiğit B, Çokkeser Y, Kızılay A, Aktaş D. Çarpık burunlara yaklaşım ve sonuçlarımız. Tr-ENT. 2002;9:21–29.
MLA Özturan, Orhan et al. “Çarpık Burunlara yaklaşım Ve sonuçlarımız”. The Turkish Journal of Ear Nose and Throat, vol. 9, no. 1, 2002, pp. 21-29.
Vancouver Özturan O, Miman MC, Yiğit B, Çokkeser Y, Kızılay A, Aktaş D. Çarpık burunlara yaklaşım ve sonuçlarımız. Tr-ENT. 2002;9(1):21-9.