Early Postoperative Sequelae After Open Sky Access in Nasal Osteotomy: A Comparative Study.

Area of Science:

• Plastic Surgery
• Otolaryngology
• Facial Plastic Surgery

Background:

• Nasal osteotomy is crucial in rhinoplasty but can cause bruising and swelling.
• Current methods like percutaneous and endonasal osteotomy have drawbacks including scarring and mucosal tears.
• The open sky access technique offers direct visualization to potentially mitigate these issues.

Purpose of the Study:

• To evaluate early postoperative sequelae of the open sky access osteotomy.
• To compare the open sky access technique with the percutaneous perforating method for lateral nasal osteotomy.

Main Methods:

• A randomized study of 40 patients comparing open sky access and percutaneous perforating lateral osteotomy.
• Assessment of periorbital ecchymosis and edema on postoperative days 2 and 7.
• Evaluation of mucosal tear using nasal endoscopy on postoperative day 2.

Main Results:

• No significant difference in ecchymosis or edema between the open sky and percutaneous groups on days 2 and 7.
• Significantly reduced mucosal tears observed in the open sky access osteotomy group.
• The open sky technique allows direct visualization without skin incisions.

Conclusions:

• Open sky access osteotomy is a safe and effective method for lateral nasal osteotomy.
• This technique minimizes mucosal tears compared to percutaneous perforating osteotomy.
• It offers direct visualization and avoids potential scarring from skin incisions.