ABSTRACT
Background: Nasal obstruction due to deviated septum is commonly treated with conventional septoplasty. This surgery however is inadequate in cases of compromised nasal valves and leads to persistent symptoms. Hence, we stressed the evaluation of nasal valves before septal surgery & studied the outcome of the patients with valve area correction. Aim:To prove the signi?cance of inner nasal valve in nasal surgery. Objective: To analyse the outcome of Open septoplasty. Methodology:A retrospective review of our patients undergoing Open septoplasty was analyzed from April 2016 to January 2021. The preoperative and post-operative evaluations were calculated & statistically analysed. Results :A total of 400 patients underwent Open septoplasty, out of which 392(98%)showed symptomatic improvement in breathing dif?culty. Also, 220 patients out of total 400 underwent cosmetic correction along with open septoplasty & 209 (95%) out of these220 were completely happy with the asthetic improvement. Conclusion:Open septoplasty and Spreader grafts is best solution to improve Internal Nasal valve angle. Rim graft to improve external valve collapse. Spreader graft also gives asthetic along with functional improvement.
ABSTRACT
Rhinoplasty is a complex operation that requires precise preoperative diagnosis to select the appropriate surgical technique. In reduction rhinoplasty, I generally use the external rhinoplasty approach. Most dorsal humps are comprised primarily of cartilage, and overreduction of the bony dorsum must be avoided. The decision concerning the extent of hump removal should be determined preoperatively. Following hump removal and to close the open roof, osteotomies are considered for repositioning and reshaping the nose. A medial osteotomy is defined as the separation of the nasal bones and the bony septum. This can be further subclassified as medial oblique and paramedian osteotomies. I prefer to use a fading medial osteotomy(medial oblique). The fading medial osteotomy avoids those deformities created by extending osteotomies into the thick frontal bone. A lateral osteotomy may be used to narrow a wide nasal base, or to close open roof deformity. "Low-high", "low-low" and double osteotomies have been described. After dorsal hump removal and osteotomies, I frequently use spreader grafts to reconstruct middle nasal vault.