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Straightening Crooked Nose with Precise Bone Refining.

Utku Kubilay¹, Ozlem Yagız Aghayarov¹

¹Department of ENT, Tepecik Research and Training Hospital, University of Health Sciences, Izmir, Turkey.

Ear, Nose, & Throat Journal

|September 27, 2024

Summary

This summary is machine-generated.

This study introduces a novel technique using otologic drills to correct crooked noses by equalizing nasal bone lengths. The method achieved a 98% success rate in straightening crooked nasal bones.

Keywords:

nasal bone ostectomy powered instruments rhinoplasty surgical techniques

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Area of Science:

Plastic Surgery
Otolaryngology
Anatomy

Background:

Crooked noses present complex anatomical challenges in rhinoplasty, especially within the bony vault.
Traditional osteotomy methods often fail to equalize asymmetric nasal bone lengths.

Purpose of the Study:

To introduce and evaluate a novel technique using otologic drills for correcting nasal bone asymmetry.
To shorten the longer nasal bone and align the nasion-rhinion line at the midline.

Main Methods:

A Goodman incision was utilized for surgical access to the nasal bones under general anesthesia.
Otologic drills performed lateral and transverse ostectomies to shorten the longer nasal bone.
Patient follow-ups were conducted at 3, 6, and 12 months post-surgery.

Main Results:

The technique was applied to 48 patients (22 male, 26 female).
Satisfactory results, including a straightened nose, were achieved in 47 out of 48 cases (97.9% success rate).
One case had a minor postoperative deviation that did not necessitate revision.

Conclusions:

Otologic drill-assisted ostectomies provide an effective method for equalizing nasal bone lengths and improving nasal symmetry.
This technique precisely addresses asymmetric nasal bone lengths, a limitation of traditional rhinoplasty methods.
Further research with larger cohorts and extended follow-up is warranted to validate efficacy and safety, including potential use in closed rhinoplasty.