Medial nasal bone trimming for managing the deviated and or wide bony vault in Asians
Background : : Managing the bony vault in rhinoplasty is challenging despite the use of various techniques. High revision rates persist due to recurrent or residual deviations. In severe cases, intermediate osteotomy is difficult in Korean patients due to their shorter and thicker nasal bones. <b...
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| Format: | Article |
| Language: | English |
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Korean Society of Korean Cosmetic Surgery and medicine
2023-06-01
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| Series: | Journal of Cosmetic Medicine |
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| Online Access: | http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2023.7.1.13 |
| _version_ | 1797791415123574784 |
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| author | Chayakorn Phannikul Dong-Yun Lee Tae-Bin Won |
| author_facet | Chayakorn Phannikul Dong-Yun Lee Tae-Bin Won |
| author_sort | Chayakorn Phannikul |
| collection | DOAJ |
| description | Background : : Managing the bony vault in rhinoplasty is challenging despite the use of various techniques. High revision rates persist due to recurrent or residual deviations. In severe cases, intermediate osteotomy is difficult in Korean patients due to their shorter and thicker nasal bones. <br />Objective: Managing the bony vault is challenging in rhinoplasty procedures. This study aimed to evaluate the results of medial nasal bone trimming to correct deviated and wide bony vaults. <br />Methods : : This retrospective study included patients who underwent rhinoplasty with medial nasal bone trimming at a single hospital between June 2010 and June 2013. Medical records including diagnoses, computerized preoperative tomography scans, operation records, intraoperative photographs, postoperative results, and complications were collected. Postoperative aesthetic improvement was evaluated using a 4 point-Likert scale. <br />Results : : Fifty patients were included, of which 31 patients were diagnosed with a deviated nasal dorsum, 12 with a deviated nasal dorsum, and seven with a wide nasal dorsum without deviation. Nasal bone trimming was performed bilaterally and unilaterally in 29 and 21 patients, respectively. Postoperative aesthetic score was 2.31±0.61, 2.57±0.45, and 2.7±0.56 for the patients in the deviated, deviated and wide, and wide without deviated groups, respectively. <br />Conclusion : : Medial nasal bone trimming can be a simple, safe, and effective procedure for achieving symmetry and narrowing of the bony vault in patients with a deviated or wide bony pyramid. |
| first_indexed | 2024-03-13T02:18:27Z |
| format | Article |
| id | doaj.art-e37d71843aa74f828507173fc04d4602 |
| institution | Directory Open Access Journal |
| issn | 2508-8831 |
| language | English |
| last_indexed | 2024-03-13T02:18:27Z |
| publishDate | 2023-06-01 |
| publisher | Korean Society of Korean Cosmetic Surgery and medicine |
| record_format | Article |
| series | Journal of Cosmetic Medicine |
| spelling | doaj.art-e37d71843aa74f828507173fc04d46022023-06-30T11:11:44ZengKorean Society of Korean Cosmetic Surgery and medicineJournal of Cosmetic Medicine2508-88312023-06-0171131810.25056/JCM.2023.7.1.13JCM.2023.7.1.13Medial nasal bone trimming for managing the deviated and or wide bony vault in AsiansChayakorn Phannikul0Dong-Yun Lee1Tae-Bin Won2Department of Otorhinolaryngology, Suddhavej Hospital, Faculty of Medicine, Mahasarakham University, Maha Sarakham, ThailandDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Rep. of KoreaDepartment of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Rep. of KoreaBackground : : Managing the bony vault in rhinoplasty is challenging despite the use of various techniques. High revision rates persist due to recurrent or residual deviations. In severe cases, intermediate osteotomy is difficult in Korean patients due to their shorter and thicker nasal bones. <br />Objective: Managing the bony vault is challenging in rhinoplasty procedures. This study aimed to evaluate the results of medial nasal bone trimming to correct deviated and wide bony vaults. <br />Methods : : This retrospective study included patients who underwent rhinoplasty with medial nasal bone trimming at a single hospital between June 2010 and June 2013. Medical records including diagnoses, computerized preoperative tomography scans, operation records, intraoperative photographs, postoperative results, and complications were collected. Postoperative aesthetic improvement was evaluated using a 4 point-Likert scale. <br />Results : : Fifty patients were included, of which 31 patients were diagnosed with a deviated nasal dorsum, 12 with a deviated nasal dorsum, and seven with a wide nasal dorsum without deviation. Nasal bone trimming was performed bilaterally and unilaterally in 29 and 21 patients, respectively. Postoperative aesthetic score was 2.31±0.61, 2.57±0.45, and 2.7±0.56 for the patients in the deviated, deviated and wide, and wide without deviated groups, respectively. <br />Conclusion : : Medial nasal bone trimming can be a simple, safe, and effective procedure for achieving symmetry and narrowing of the bony vault in patients with a deviated or wide bony pyramid.http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2023.7.1.13nasal bone; nasal dorsum; nose; osteotomy; resection; rhinoplasty |
| spellingShingle | Chayakorn Phannikul Dong-Yun Lee Tae-Bin Won Medial nasal bone trimming for managing the deviated and or wide bony vault in Asians Journal of Cosmetic Medicine nasal bone; nasal dorsum; nose; osteotomy; resection; rhinoplasty |
| title | Medial nasal bone trimming for managing the deviated and or wide bony vault in Asians |
| title_full | Medial nasal bone trimming for managing the deviated and or wide bony vault in Asians |
| title_fullStr | Medial nasal bone trimming for managing the deviated and or wide bony vault in Asians |
| title_full_unstemmed | Medial nasal bone trimming for managing the deviated and or wide bony vault in Asians |
| title_short | Medial nasal bone trimming for managing the deviated and or wide bony vault in Asians |
| title_sort | medial nasal bone trimming for managing the deviated and or wide bony vault in asians |
| topic | nasal bone; nasal dorsum; nose; osteotomy; resection; rhinoplasty |
| url | http://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2023.7.1.13 |
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