[Effects of subperiosteal tunnel creation on periorbital edema and ecchymosis after Rhinoplasty]

In this study we try to determine the effects of sub periosteal tunneling before intranasal lateral osteotomies during rhinoplastic operation on periorbital edema and ecchymosis In 50 patients we carried out 100 lateral osteotomies which 50 without subperiosteal tunneling and 50 after subperosteal tunneling in a fashion that in each patient in one side we did sub perosteal tunneling and in the other side not .Then an other surgeon compared periorbital edema, ecchymosis and subcojunctival ecchymosis in each patient separately on 3 [rd] postoperative day. There was significant increment in perorbital edema, ecchymosis and subcojunctival ecchymosis in the side of patient whom subperiosteal tunneling carried out before itranasal lateral osteotomy. we suggest performing lateral osteotomies without subperiosteal tunneling during a rhinoplastic operation

Result of open septorhinoplasty in 42 patients with twisted nose

The twisted nose represents a complex deformity that involves multiple anatomic components. A deviated nose often produces a cosmetic and functional deformity. Experienced surgeons uniformly regard the twisted as the most challenging of all septorhinoplasty procedures, and sometimes complete straightening of such a Nose may not be possible. The septum is the key point of deformities in most twist noses. A well done septoplasty with any correction if significant Septal deviations and deformities is important to attain satisfactory aesthetic and functional results. An open rhinoplastic approach with better visual field for using different sutures and grafts is essential for successful treatment