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Results of öpen structure rhinoplasty

Year 2002, Volume: 9 Issue: 3, 208 - 214, 28.06.2002

Abstract

Objectives: This study aimed to evaluate the teeh- niques used in öpen structure rhinoplasty opera- tions, together with a presentation of our results and experience.Patients and Methods: The study ineluded 122 patients 64 males 58 females; mean age 27 years; range 17 to 48 years who underwent öpen structure rhinoplasty. Of these, 72.9% had primary, 9% had revision surgeries; 18% had traumatic deformities.The mean follow-up period was 18 months range 3 to 24 months .Results: We did not encounter transcolumellar scar formation or flap necrosis in any of the cases. İn five cases %4 , edema and hyperemia were deteeted in the columellar skin in the early postoperative period.Resorption of the tip graft developed in one %0.8 of the patients in whom auricular cartilage grafts were used. A year after surgery, one patient %0.8 presented with granulation tissue formation in the nasal vestibule, secondary to the use of nylon suture material. Axial deviation was seen in the early post­ operative period in two patients %1.6 . Five patients %4 required revision surgery.Conclusion: open structure rhinoplasty gives excellent results when employed on proper indications and by experienced surgeons.

References

  • Gunter JP. The merits of the open approach in rhinop- lasty. Plast Reconstr Surg 1997;99:863-7.
  • fiapçı T, Akbulut UG. Açık teknik rinoplasti. KBB Bafl Boyun Cerrahisi Derg 1997;5:24-9.
  • Katırcıoğlu S, Karatay MC, Süoğlu Y. Nazal tip cerra- hisinde double dome unit with division tekniği. Türk ORL Arflivi 1994;32:90-2.
  • Özturan O, Aktafl D, Miman MC, Kızılay A. Fonksiyo- nel kozmetik nazal cerrahide histoakril. Kulak Burun Bogaz Ihtis Derg 2000;7:9-13.
  • Ünlü HH, Kanoğlu T, Yücetürk AV, Filiz Ü. Nazal tip rekonstrüksiyonunda açık rinoplasti. Kulak Burun Bo- gaz Ihtis Derg 1999;6:141-5.
  • Zijlker TD, Adamson PA. Open structure rhinoplasty. Clin Otolaryngol 1993;18:125-34.
  • Daniel RK. Rhinoplasty: a simplified, thre e - s t i t c h , open tip suture technique. Part I: primary rhinoplasty. Plast Reconstr Surg 1999;103:1491-502.
  • McCollough EG, English JL. A new twist in nasal tip s u rg e r y. An alternative to the Goldman tip for the wide or bulbous lobule. Arch Otolaryngol 1985;111 : 5 2 4 - 9 .
  • Tardy ME Jr, Patt BS, Walter MA. Transdomal suture refinement of the nasal tip: long-term outcomes. Facial Plast Surg 1993;9:275-84.
  • Daniel RK. Rhinoplasty: creating an aesthetic tip. A preliminary report. Plast Reconstr Surg 1987;80:775-83.
  • Önerci M, Sennaroğlu L. Burun ucu cerrahisi. KBB Bül- teni 1994;3:67-8.
  • Zijlker TD, Vuyk H. Cartilage grafts for the nasal tip. Clin Otolaryngol 1993;18:446-58.
  • Toriumi DM. Advanced aesthetic and functional rh i- n o p l a s t y. American Academy of Otolaryngology-Head and Neck Surgery; Bulletin 2000;19:88.
  • Adamson PA. Open rh i n o p l a s t y. Otolaryngol Clin North Am 1987;20:837-52.
  • Ezon FC. Open rhinoplasty. Ear Nose Throat J 1985;64: 416-20.
  • Anderson JR, Johnson CM Jr, Adamson P. Open rhi- noplasty: an assessment. Otolaryngol Head Neck Surg 1982;90:272-4.
  • Wright WK, Kridel RW. External septorhinoplasty: a to- ol for teaching and for improved results. Laryngoscope 1 9 8 1 ; 9 1 : 9 4 5 - 5 1 .
  • Stone JW. External rhinoplasty. Laryngoscope 1980; 90(10 Pt 1):1626-30.
  • Tınaz M, Aslan İ, Oysu Ç. Açık rinoplastilerde skar değer- lendirilmesi. Kulak Burun Bogaz Ihtis Derg 1996;3:474-6.
  • Goodman WS. The rotating burr in rhinoplasty. Arch Otolaryngol 1981;107:436-8.
  • Holmstrom H, Luzi F. Open rhinoplasty without trans- columellar incision. Plast Reconstr Surg 1996;97: 321-6.
  • Guerrerosantos J. Open rhinoplasty without skin-colu- mella incision. Plast Reconstr Surg 1990;85:955-60.
  • Goodman WS. Recent advances in external rhinop- lasty. J Otolaryngol 1981;10:433-9.
  • Toriumi DM, Mueller RA, Grosch T, Bhattacharyya TK, Larrabee WF Jr. Vascular anatomy of the nose and the external rhinoplasty approach. Arch Otolaryngol Head Neck Surg 1996;122:24-34.
  • Daniel RK. Secondary rhinoplasty following open rhi- noplasty. Plast Reconstr Surg 1995;96:1539-46.
  • Byrd HS, Andochick S, Copit S, Walton KG. Septal ex- tension grafts: a method of controlling tip projection shape. Plast Reconstr Surg 1997;100:999-1010.
  • Kamer FM, Churukian MM. Shield graft for the nasal tip. Arch Otolaryngol 1984;110:608-10.

Açık teknik rinoplasti sonuçlarımız

Year 2002, Volume: 9 Issue: 3, 208 - 214, 28.06.2002

Abstract

Amaç: Bu çalıflmada açık teknik rinoplasti ameliyatlarında uyguladığımız teknikleri, ameliyat sonuçlarını değerlendirmeyi ve deneyimlerimizi sunmayıamaçladık.Hastalar ve Yöntemler: Açık teknik rinoplasti ameliyatı ile tedavi ettiğimiz 122 hasta çalıflmaya alındı. Olguların %72.9’unda primer, %9’unda revizyon cerrahisi uygulandı. Olguların %18’inde travmatik deformiteler vardı. Olgular ortalama 18 ay dağılım 3-24 ay i z l e n d i .B u l g u l a r : Olguların hiçbirinde transkolumellar skaroluflumu veya flep nekrozu ile karflılaflılmadı. Beflolguda %4 ameliyat sonrası erken dönemde, kolumella cildinde ödem ve hiperemi gelifltiği görüldü.Auriküler kartilaj greft uygulanan olguların birinde %0.8 tip greft rezorpsiyonu geliflti. Bir olgudaameliyat sonrası birinci yılda, nazal vestibül içinde,naylon dikifl materyali kullanımına bağlı granülasyon dokusu geliflimi gözlendi. İki olguda %1.6 ameliyat sonrası erken dönemde aks deviasyonusaptandı. Befl olguda %4 revizyon cerrahisine gerek duyuldu.Sonuç: Açık teknik rinoplasti, endikasyonu olanhastalarda deneyimli hekimler tarafından uygulandığında çok iyi sonuçlar veren bir yöntemdir

References

  • Gunter JP. The merits of the open approach in rhinop- lasty. Plast Reconstr Surg 1997;99:863-7.
  • fiapçı T, Akbulut UG. Açık teknik rinoplasti. KBB Bafl Boyun Cerrahisi Derg 1997;5:24-9.
  • Katırcıoğlu S, Karatay MC, Süoğlu Y. Nazal tip cerra- hisinde double dome unit with division tekniği. Türk ORL Arflivi 1994;32:90-2.
  • Özturan O, Aktafl D, Miman MC, Kızılay A. Fonksiyo- nel kozmetik nazal cerrahide histoakril. Kulak Burun Bogaz Ihtis Derg 2000;7:9-13.
  • Ünlü HH, Kanoğlu T, Yücetürk AV, Filiz Ü. Nazal tip rekonstrüksiyonunda açık rinoplasti. Kulak Burun Bo- gaz Ihtis Derg 1999;6:141-5.
  • Zijlker TD, Adamson PA. Open structure rhinoplasty. Clin Otolaryngol 1993;18:125-34.
  • Daniel RK. Rhinoplasty: a simplified, thre e - s t i t c h , open tip suture technique. Part I: primary rhinoplasty. Plast Reconstr Surg 1999;103:1491-502.
  • McCollough EG, English JL. A new twist in nasal tip s u rg e r y. An alternative to the Goldman tip for the wide or bulbous lobule. Arch Otolaryngol 1985;111 : 5 2 4 - 9 .
  • Tardy ME Jr, Patt BS, Walter MA. Transdomal suture refinement of the nasal tip: long-term outcomes. Facial Plast Surg 1993;9:275-84.
  • Daniel RK. Rhinoplasty: creating an aesthetic tip. A preliminary report. Plast Reconstr Surg 1987;80:775-83.
  • Önerci M, Sennaroğlu L. Burun ucu cerrahisi. KBB Bül- teni 1994;3:67-8.
  • Zijlker TD, Vuyk H. Cartilage grafts for the nasal tip. Clin Otolaryngol 1993;18:446-58.
  • Toriumi DM. Advanced aesthetic and functional rh i- n o p l a s t y. American Academy of Otolaryngology-Head and Neck Surgery; Bulletin 2000;19:88.
  • Adamson PA. Open rh i n o p l a s t y. Otolaryngol Clin North Am 1987;20:837-52.
  • Ezon FC. Open rhinoplasty. Ear Nose Throat J 1985;64: 416-20.
  • Anderson JR, Johnson CM Jr, Adamson P. Open rhi- noplasty: an assessment. Otolaryngol Head Neck Surg 1982;90:272-4.
  • Wright WK, Kridel RW. External septorhinoplasty: a to- ol for teaching and for improved results. Laryngoscope 1 9 8 1 ; 9 1 : 9 4 5 - 5 1 .
  • Stone JW. External rhinoplasty. Laryngoscope 1980; 90(10 Pt 1):1626-30.
  • Tınaz M, Aslan İ, Oysu Ç. Açık rinoplastilerde skar değer- lendirilmesi. Kulak Burun Bogaz Ihtis Derg 1996;3:474-6.
  • Goodman WS. The rotating burr in rhinoplasty. Arch Otolaryngol 1981;107:436-8.
  • Holmstrom H, Luzi F. Open rhinoplasty without trans- columellar incision. Plast Reconstr Surg 1996;97: 321-6.
  • Guerrerosantos J. Open rhinoplasty without skin-colu- mella incision. Plast Reconstr Surg 1990;85:955-60.
  • Goodman WS. Recent advances in external rhinop- lasty. J Otolaryngol 1981;10:433-9.
  • Toriumi DM, Mueller RA, Grosch T, Bhattacharyya TK, Larrabee WF Jr. Vascular anatomy of the nose and the external rhinoplasty approach. Arch Otolaryngol Head Neck Surg 1996;122:24-34.
  • Daniel RK. Secondary rhinoplasty following open rhi- noplasty. Plast Reconstr Surg 1995;96:1539-46.
  • Byrd HS, Andochick S, Copit S, Walton KG. Septal ex- tension grafts: a method of controlling tip projection shape. Plast Reconstr Surg 1997;100:999-1010.
  • Kamer FM, Churukian MM. Shield graft for the nasal tip. Arch Otolaryngol 1984;110:608-10.
There are 27 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Tarık Şapçı This is me

Uğur Günter Akbulut This is me

Publication Date June 28, 2002
Published in Issue Year 2002 Volume: 9 Issue: 3

Cite

APA Şapçı, T., & Akbulut, U. G. (2002). Açık teknik rinoplasti sonuçlarımız. The Turkish Journal of Ear Nose and Throat, 9(3), 208-214.
AMA Şapçı T, Akbulut UG. Açık teknik rinoplasti sonuçlarımız. Tr-ENT. June 2002;9(3):208-214.
Chicago Şapçı, Tarık, and Uğur Günter Akbulut. “Açık Teknik Rinoplasti sonuçlarımız”. The Turkish Journal of Ear Nose and Throat 9, no. 3 (June 2002): 208-14.
EndNote Şapçı T, Akbulut UG (June 1, 2002) Açık teknik rinoplasti sonuçlarımız. The Turkish Journal of Ear Nose and Throat 9 3 208–214.
IEEE T. Şapçı and U. G. Akbulut, “Açık teknik rinoplasti sonuçlarımız”, Tr-ENT, vol. 9, no. 3, pp. 208–214, 2002.
ISNAD Şapçı, Tarık - Akbulut, Uğur Günter. “Açık Teknik Rinoplasti sonuçlarımız”. The Turkish Journal of Ear Nose and Throat 9/3 (June 2002), 208-214.
JAMA Şapçı T, Akbulut UG. Açık teknik rinoplasti sonuçlarımız. Tr-ENT. 2002;9:208–214.
MLA Şapçı, Tarık and Uğur Günter Akbulut. “Açık Teknik Rinoplasti sonuçlarımız”. The Turkish Journal of Ear Nose and Throat, vol. 9, no. 3, 2002, pp. 208-14.
Vancouver Şapçı T, Akbulut UG. Açık teknik rinoplasti sonuçlarımız. Tr-ENT. 2002;9(3):208-14.