title: Septorhinoplasty by disarticulation: early assessment of a new technique for morphological correction of crooked noses.
abstract: OBJECTIVE
  This study was aimed to assess the early morphological results of a new septorhinoplasty technique based on disarticulation (SRD) between bony and cartilaginous nose structures.
  
  
  METHODS
  A retrospective, multi-judge, blind comparison of pre- and post-operative photographs displayed on Google documents was designed. A nasal morphology analysis grid based on 10 items was fulfilled independently by 6 judges to assess pre- and post-operatively, two times with a 15 day interval, the severity of each deformity by a score between 0 and 2. The sum of all deformities in a single patient produced the individual global score of nasal deformity, which was set between 0 and 20 for each patient. Pre- and post-operative individual global scores were compared using Student`s t test on paired samples. Percentages of post-operative improvement and deterioration were calculated for each item.
  
  
  RESULTS
  Thirty-five SRD were analyzed. Before surgery, 80% of noses were humped and 86% were crooked; three months after surgery, 64% of noses had a rectilinear nasal crest on profile and 57% on facial view. The mean global score of deformities drop- ped from 11.1 before surgery to 5.8 after surgery, an improvement of 47% . Improvement rates of 82% and 74.3% were obtained, respectively, for hump profiles and orbitonasal lines.
  
  
  CONCLUSIONS
  The early morphological results of SRD allow to propose this technique as a possible solution to correct crooked noses with humps.
authors: CHU Nancy Hopital Central, Nancy, France.
authors: N
authors: N
authors: Boulanger
authors: C
authors: C
authors: Baumann
authors: R
authors: R
authors: Beurton
authors: H
authors: H
authors: Elueque
authors: P
authors: P
authors: Gallet
authors: R
authors: R
authors: Grosjean
authors: P
authors: P
authors: Lindas
authors: C
authors: C
authors: Lorentz
authors: R
authors: R
authors: Jankowski
mesh_terms: D000328:Adult; D004188:Disarticulation; D005260:Female; D006801:Humans; D008297:Male; D009295:Nasal Bone / Q000601:surgery; D055171:Nasal Cartilages / Q000601:surgery; D009667:Nose Deformities, Acquired / Q000601:surgery*; D010781:Photography; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D012720:Severity of Illness Index; D016896:Treatment Outcome