Corrective osteotomy technique for a posttraumatic deviated nose.
Posttraumatic nasal deformities may not be adequately corrected by conventional osteotomy techniques when the configuration of the nasal bone has been changed as a result of malunion. The purpose of this study is to present an osteotomy technique, including refracture along malunion sites and anatomic reduction of a malformed nasal bone, for the correction of a posttraumatic deviated nose. From March 2003 to May 2004, 27 patients, who underwent corrective rhinoplasty for the correction of bony pyramid deviation, were included in this study. Postoperative results were evaluated regarding nasal midline location, nasal symmetry, and nasal contour. All patients were also evaluated subjectively for cosmetic improvement, changes in breathing, and overall satisfaction. Objective results of the technique were excellent and patients' satisfaction levels were also very positive. The osteotomy technique presented in this study is simple, effective, and safe for correcting posttraumatic nasal deviation and also produces consistent results.
Han
Seung-Kyu
SK
Department of Plastic Surgery, Korea University College of Medicine, Seoul, Korea.
Chun
Kyung-Wook
KW
Park
Dae-Kyun
DK
Min
Byung-Doo
BD
Kim
Woo-Kyung
WK
D000328:Adult; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D017759:Fractures, Malunited / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009295:Nasal Bone / Q000293:injuries* / Q000601:surgery; D015508:Nasal Obstruction / Q000601:surgery; D009667:Nose Deformities, Acquired / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D017060:Patient Satisfaction; D012119:Respiration; D012225:Rhinoplasty / Q000379:methods; D012887:Skull Fractures / Q000601:surgery; D016896:Treatment Outcome