ABSTRACT
Se revisan 45 casos de septorrinoplastia para la corrección de desviaciones del dorso óseo, realizadas desde el año 1993 hasta el 2001, en las que se ha utilizado la técnica de osteotomías laterales por vía externas. El 67% de los casos eran hombres, y el 33 per cent mujeres. La media de edad era de 25 años. En todos los casos se realizó una septoplastia y se corrigió la desviación ósea mediante osteotomías mediales realizadas a través de una incisión intercartilaginosa y osteotomías laterales por vía externa. Se realizó un seguimiento postoperatorio a 35 pacientes. De ellos, el 78% refirió encontrarse subjetivamente mejor que previamente a la cirugía, y el 22% mucho mejor. Un paciente tuvo que ser reintervenido por presentar una fractura nasal traumática posteriormente a la rinoplastia. Consideramos que esta técnica ofrece importantes ventajas, con mayor control del trazo de fractura, menor incidencia de techo abierto y de escalón lateral, sin provocar secuelas cicatriciales (AU)
We present a revision of 45 patients with nasal deviation operated on between 1993 and 2001. Septorhinoplasties were done in all cases using the external lateral nasal osteotomies technique. 67% of our patients were male and 33% were female with a mean age of 25. In all cases a septoplasty was performed. To correct nasal deviation, medial osteotomies through an intercartilaginous approach and external lateral nasal osteotomies were done. We did a postoperative follow-up of 35 patients. In terms of patient satisfaction, 78% of them felt that their nasal appearance had improved after surgery, and 22% felt that they had a great improvement. One case had to be reoperated on because of a traumatic nasal fracture after surgery. We believe this technique offers important advantages, such as: an excellent control of the fracture line, fewer incidences of open roof and lateral step, without causing visible scars (AU)
Subject(s)
Middle Aged , Adolescent , Adult , Male , Female , Humans , Nasal Bone/abnormalities , Osteotomy/methods , Rhinoplasty/methods , Nasal Bone/surgeryABSTRACT
We present a revision of 45 patients with nasal deviation operated on between 1993 and 2001. Septorhinoplasties were done in all cases using the external lateral nasal osteotomies technique. 67% of our patients were male and 33% were female with a mean age of 25. In all cases a septoplasty was performed. To correct nasal deviation, medial osteotomies through an intercartilaginous approach and external lateral nasal osteotomies were done. We did a postoperative follow-up of 35 patients. In terms of patient satisfaction, 78% of them felt that their nasal appearance had improved after surgery, and 22% felt that they had a great improvement. One case had to be reoperated on because of a traumatic nasal fracture after surgery. We believe this technique offers important advantages, such as: an excellent control of the fracture line, fewer incidences of open roof and lateral step, without causing visible scars.
