BibTex RIS Cite

A novel method to prevent complications of nasal osteotomy: matress suture which traverses lateral walls and septum

Year 2015, Volume: 25 Issue: 6, 324 - 328, 30.12.2015

Zülfükar Ulaş Bali Emin Sır Anvar Ahmedov Levent Aydemir Melike Güngör Alper Aksoy

Abstract

Objectives: This study aims to investigate long-term nasal wall stability and prevention of nasal osteotomy complications using thin osteotomes without a nasal splint. Patients and Methods: Between March 2012 and August 2014, 16 male patients mean age 24 years; range 18 to 42 years who were admitted with the complaint of appearance of nose to our clinic and were diagnosed with nasal deformity were included in this study. Primary rhinoplasty was performed on 15 patients, while secondary rhinoplasty due to open roof deformity was applied in one patient. After hump resection, two holes were made cranially and caudally over the each nasal bone. The mattress suture was performed by passing these holes to stabilize the nasal bone in a desired position following osteotomy. With this technique, only adhesive tapes were applied postoperatively. No external nasal splint was used. Results: The mean follow-up was nine range, 7 to 13 months. None of the patients experienced open roof deformity, inverted V deformity, nasal bone collapses or wall irregularities. Conclusion: Our study results show that our technique is useful to reduce osteotomy complications and to reach the optimal cosmetic outcomes in rhinoplasty.

Keywords

Matress suture osteotomy rhinoplasty

References

  • Murakami CS, Larrabee WF. Comparison of osteotomy techniques in the treatment of nasal fractures. Facial Plast Surg 1992;8:209-19.
  • Rohrich RJ, Krueger JK, Adams WP Jr, Hollier LH Jr. Achieving consistency in the lateral nasal osteotomy during rhinoplasty: an external perforated technique. Plast Reconstr Surg 2001;108:2122-30.
  • Guyuron B. Nasal osteotomy and airway changes. Plast Reconstr Surg 1998;102:856-60.
  • Wayne I. Osteotomies in rhinoplasty surgery. Curr Opin Otolaryngol Head Neck Surg 2013;21:379-83.
  • Arslan E. No osteotomy rhinoplasty: indications and surgical details. Aesthetic Plast Surg 2014;38:57-62.
  • Li Z, Xie Y, Peng Q, Liu L, Yu B. Tailoring nasal splints to optimize rhinoplasty results. Plast Reconstr Surg 2010;126:254-55.
  • Bhangoo KS. Aesthetic rhinoplasty: Avoiding unfavourable results. Indian J Plast Surg 2013;46:349-58.
  • Tebbetts JB. Osteotomies. In: Tebbetts JB editor. Primer Rhinoplasty. 2nd ed. Texas: Mosby; 2008. p. 211-45.
  • Lieberman DM, Most SP. Lateral nasal wall suspension using a bone-anchored suture technique. Arch Facial Plast Surg 2010;12:113.
  • Toriumi DM. Management of the middle nasal vault in rhinoplasty. Operative Tech Plast Reconstr Surg 1995;2:16-30.

Nazal ostetomi komplikasyonlarını önlemede yeni bir yöntem: Lateral duvarlar ve septumdan karşılıklı geçen matres sütür

Year 2015, Volume: 25 Issue: 6, 324 - 328, 30.12.2015

Zülfükar Ulaş Bali Emin Sır Anvar Ahmedov Levent Aydemir Melike Güngör Alper Aksoy

Abstract

Amaç: Bu çalışmada nazal splintsiz ince osteotomların kullanımı ile uzun dönem nazal duvar stabilitesi ve nazal osteotomi komplikasyonlarının önlenmesi araştırıldı.Hastalar ve Yöntemler: Mart 2012 - Ağustos 2014 tarihleri arasında burun görünümünden hoşlanmama yakınması ile kliniğimize başvuran ve nazal deformite tanısı konulan 16 erkek hasta ort. yaş 24 yıl; dağılım 18-42 yıl çalışmaya dahil edildi. On beş hastaya primer rinoplasti uygulanırken, bir hastaya açık çatı deformitesi nedeniyle sekonder rinoplasti uygulandı. Hump rezeksiyonu sonrasında her burun kemiğinde kraniyal ve kaudalde olmak üzere iki delik açıldı. Matres sütür, osteotomi sonrasında nazal kemiği istenilen pozisyonda tutmak için bu deliklerden geçecek şekilde yapıldı. Bu teknik ile ameliyat sonrası yalnızca adeziv bant yapıştırıldı. Harici nazal splint kullanılmadı.Bulgular: Ortalama takip süresi dokuz ay idi. Hastaların hiçbirinde açık çatı deformitesi, ters V deformitesi, nazal kemik çökmesi ve duvar düzensizlikleri görülmedi.Sonuç: Çalışma bulgularımız, bu tekniğin osteotomi komplikasyonlarını önlemede ve ideal estetik sonuçlara ulaşmada kullanışlı olduğunu göstermektedir

Keywords

Matres sütür osteotomi rinoplasti

References

  • Murakami CS, Larrabee WF. Comparison of osteotomy techniques in the treatment of nasal fractures. Facial Plast Surg 1992;8:209-19.
  • Rohrich RJ, Krueger JK, Adams WP Jr, Hollier LH Jr. Achieving consistency in the lateral nasal osteotomy during rhinoplasty: an external perforated technique. Plast Reconstr Surg 2001;108:2122-30.
  • Guyuron B. Nasal osteotomy and airway changes. Plast Reconstr Surg 1998;102:856-60.
  • Wayne I. Osteotomies in rhinoplasty surgery. Curr Opin Otolaryngol Head Neck Surg 2013;21:379-83.
  • Arslan E. No osteotomy rhinoplasty: indications and surgical details. Aesthetic Plast Surg 2014;38:57-62.
  • Li Z, Xie Y, Peng Q, Liu L, Yu B. Tailoring nasal splints to optimize rhinoplasty results. Plast Reconstr Surg 2010;126:254-55.
  • Bhangoo KS. Aesthetic rhinoplasty: Avoiding unfavourable results. Indian J Plast Surg 2013;46:349-58.
  • Tebbetts JB. Osteotomies. In: Tebbetts JB editor. Primer Rhinoplasty. 2nd ed. Texas: Mosby; 2008. p. 211-45.
  • Lieberman DM, Most SP. Lateral nasal wall suspension using a bone-anchored suture technique. Arch Facial Plast Surg 2010;12:113.
  • Toriumi DM. Management of the middle nasal vault in rhinoplasty. Operative Tech Plast Reconstr Surg 1995;2:16-30.
There are 10 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Zülfükar Ulaş Bali This is me

Emin Sır This is me

Anvar Ahmedov This is me

Levent Aydemir This is me

Melike Güngör This is me

Alper Aksoy This is me

Publication Date December 30, 2015
Published in Issue Year 2015 Volume: 25 Issue: 6

Cite

APA Bali, Z. U., Sır, E., Ahmedov, A., Aydemir, L., et al. (2015). A novel method to prevent complications of nasal osteotomy: matress suture which traverses lateral walls and septum. The Turkish Journal of Ear Nose and Throat, 25(6), 324-328.
AMA Bali ZU, Sır E, Ahmedov A, Aydemir L, Güngör M, Aksoy A. A novel method to prevent complications of nasal osteotomy: matress suture which traverses lateral walls and septum. Tr-ENT. December 2015;25(6):324-328.
Chicago Bali, Zülfükar Ulaş, Emin Sır, Anvar Ahmedov, Levent Aydemir, Melike Güngör, and Alper Aksoy. “A Novel Method to Prevent Complications of Nasal Osteotomy: Matress Suture Which Traverses Lateral Walls and Septum”. The Turkish Journal of Ear Nose and Throat 25, no. 6 (December 2015): 324-28.
EndNote Bali ZU, Sır E, Ahmedov A, Aydemir L, Güngör M, Aksoy A (December 1, 2015) A novel method to prevent complications of nasal osteotomy: matress suture which traverses lateral walls and septum. The Turkish Journal of Ear Nose and Throat 25 6 324–328.
IEEE Z. U. Bali, E. Sır, A. Ahmedov, L. Aydemir, M. Güngör, and A. Aksoy, “A novel method to prevent complications of nasal osteotomy: matress suture which traverses lateral walls and septum”, Tr-ENT, vol. 25, no. 6, pp. 324–328, 2015.
ISNAD Bali, Zülfükar Ulaş et al. “A Novel Method to Prevent Complications of Nasal Osteotomy: Matress Suture Which Traverses Lateral Walls and Septum”. The Turkish Journal of Ear Nose and Throat 25/6 (December 2015), 324-328.
JAMA Bali ZU, Sır E, Ahmedov A, Aydemir L, Güngör M, Aksoy A. A novel method to prevent complications of nasal osteotomy: matress suture which traverses lateral walls and septum. Tr-ENT. 2015;25:324–328.
MLA Bali, Zülfükar Ulaş et al. “A Novel Method to Prevent Complications of Nasal Osteotomy: Matress Suture Which Traverses Lateral Walls and Septum”. The Turkish Journal of Ear Nose and Throat, vol. 25, no. 6, 2015, pp. 324-8.
Vancouver Bali ZU, Sır E, Ahmedov A, Aydemir L, Güngör M, Aksoy A. A novel method to prevent complications of nasal osteotomy: matress suture which traverses lateral walls and septum. Tr-ENT. 2015;25(6):324-8.