The comparison of open septorhinoplasty methods with or without osteotomies performed in situations of high level traumatic nasal deformation

PurposeThe aim in this study is to compare the functional results of open septorhinoplasty with and without osteotomies performed with the aim of increasing respiratory functions and healing the deformations in patients with high levels of traumatic deformationsMaterials And MethodsIn this prospective and clinical study, 26 patients with complaints of high level traumatic nasal deformation, who applied between 2007 and 2009 were analyzed. The physical examination, medical photographies, the findings of periorbital edema and ecchymosis and changes in respiratory behaviors before and after the operation were recorded. Furthermore, endoscopic imaging of some patients were conducted to analyze the intranasal structures in detail. Examinations of nasal dorsum width and nasal passage were made based on the photographies and endoscopic images. Evident irregularities of nasal dorsum, septum deviation and respiratory distress were identified in the patients. Open septorhinoplasy with osteotomy (13 patients ? 50 %) and without osteotomy (13 patients ? 50 %) were applied to a total of 26 patients. The patients were controlled in the in the first, third, sixth and twelfth months of the postoperative period to analyze the results. The data gathered through these controls were compared with the literatureResultsFunctional improvements was observed after open septorhinoplasy operations with and without osteotomy practiced on the 26 patients with high level traumatic nasal deformations. When the post-operative results of the open septorhinoplasty operations with and without osteotomy are compared, it was observed that among the group of patients on which osteotomies were not practiced respiratory complaints improved better, stricture in the nasal passage was not caused, edema and ecchymosis in the postoperative period was lesserConclusionIn this study, the attempt was to prove that although open septhorinoplasty operations are classically conducted with practices of osteotomy, the operations without osteotomy has not cause stricture in the nasal passage, it causes less edema ecchymosis in the postoperative period compared to the group with osteotomy, it is an acceptable procedure for patients chosen in the preoperative period through a detailed preliminary workKeywords: Osteotomy, open septorhinoplasty, nasal obstruction