Twisted nose: a new simple classiWcation and surgical algorithm in Asians
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Li-Hsiang Cheng · Jih-Chin Lee · Hsing-Won Wang · Chih-Hung Wang · Deng-Shan Lin · Chiang-Hung Hsu · Chuan-Hsiang Kao
- چاپ و سال / کشور: 2011
Description
The purpose of this study was to present our experiences with correction of twisted nose in Asian patients using a new and simple classiWcation and a surgical algorithm. A classiWcation and standard surgical algorithm was followed to determine treatment strategies for 384 patients with twisted nose between June 2001 and July 2009. A retrospective chart review from the Tri-Service General Hospital archives was performed to collect patients’ data and surgical details. A follow-up self-evaluation survey regarding satisfaction with nasal function and esthetics was distributed to all participants. Preoperative and postoperative standardized photography of the face were evaluated to judge objectively the esthetic outcomes of the surgery. There were 147, 131, and 106 patients in Type I, Type II, and Type III patients, respectively. The percentages of functionally satisWed and very satisWed patients were 95.2, 93.9, and 93.4% in Type I, Type II, and Type III groups, respectively. The percentages of esthetically satisWed or very satisWed patients were 89.1, 88.5, and 87.7% in Type I, Type II, and Type III groups, respectively. There were only 2 patients with type III deviation with residual deviation of dorsum objectively who were satisWed with the results after undergoing a revision rhinoplasty. Aside from residual deviation, the postoperative periods were uneventful and without major complications. We propose a new and simple classiWcation and surgical algorithm to optimally correct twisted nose deformities for Asian patients. The classiWcation and surgical algorithm, which is simple and reproducible especially for beginner, guides surgical decisions that yield consistently satisfactory functional and esthetic results.
Eur Arch Otorhinolaryngol DOI 10.1007/s00405-011-1726-4 Received: 4 May 2011 / Accepted: 20 July 2011
