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Published in: Aesthetic Plastic Surgery 2/2022

01-04-2022 | Rhinoplasty | Original Article

A Comparative Study of Isolated Osteotomies Versus Osteotomies with Spreader Graft Placement to Correct Primary Deviated Nose

Authors: Sharad Hernot, Arpit Agrawal, Madhuri Kaintura, Tripti Maithani, Rishabh Dogra

Published in: Aesthetic Plastic Surgery | Issue 2/2022

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Abstract

Background

It is a complete objective and subjective comparative study between two techniques of septorhinoplasty in patients undergoing primary rhinoplasty for crooked nose deformity.

Methods

Forty patients having crooked nose deformity were randomly divided into 2 groups exhibiting two different techniques of correction. Patients were randomly divided into 2 group:
Group 1: 20 patients underwent correction of crooked nose by performing bilateral triple osteotomies + Septoplasty
Group 2: 20 patients underwent correction of crooked nose by performing bilateral triple osteotomies as well as placement of spreader grafts + Septoplasty
Objective and subjective assessment of patients in preoperative and postoperative period was done by various scales and scores.

Results

Both the groups showed improvement in facial angles, ROE score, nasal airflow, and NOSE score. But, group 2 patients were more satisfied than group 1 patients in terms of both aesthetic appearance of nose and breathing function.

Conclusion

It is very well known to the authors that aesthetic result of rhinoplasty is not just dependant on one technique. Keeping this in mind, we conclude that as group 2 patients were more satisfied with their overall results, the additional step of spreader graft placement helped these patients with the complaints associated with crooked nose deformity. However, we also emphasize that additional studies on larger numbers of patients should be performed to compare and know other intricacies of each technique that may play minor or major roles in deciding the success of each technique.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
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Metadata
Title
A Comparative Study of Isolated Osteotomies Versus Osteotomies with Spreader Graft Placement to Correct Primary Deviated Nose
Authors
Sharad Hernot
Arpit Agrawal
Madhuri Kaintura
Tripti Maithani
Rishabh Dogra
Publication date
01-04-2022
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 2/2022
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-021-02531-w

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