Wedge Osteectomy of Bony Cap in Rhinoplasty: Minor Nasal Bone Hump Reduction.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Annals of African Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-19 DOI:10.4103/aam.aam_70_23

Harun Cologlu, Atilla Adnan Eyuboglu

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Abstract

Background: Hump reduction with traditional ostectomy is an invasive procedure performed in aesthetic rhinoplasty. Natural and flawless nasal dorsum can be obtained with wedge ostectomy (WO) technique.

Objective: The objective of this study is to describe the nasal dorsum WO technique and examine its effectiveness in correcting nasal dorsum with absent and minor humps in patients undergoing aesthetic rhinoplasty.

Materials and methods: Senior author performed 488 rhinoplasty and septorhinoplasty operations from April 2009 to April 2021. After exclusion of major hump patients, the remaining 312 patients had a secondary evaluation for suitability for wedge ostectomy. After secondary examination, 87 patients, including 19 with absent humps (0 mm) and 68 with small humps (1-3 mm) were operated.

Results: Nasal bone hump reduction with WO has proven satisfactory results in majority of patients, minimal revision in done in five patients but no complications were occurred related to this method.

Conclusions: Nasal dorsum WO provides lesser invasive approach to bony hump reduction in selected patients, ensuring bone cortex continuity in nasal dorsum. It decreases possible dorsal nasal irregularities associated with conventional coronal plane ostectomies. At the same time, it provides a natural and anatomically accurate nasal dorsum.

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鼻整形术中的楔形骨帽切除术：轻微鼻骨驼峰缩小术。

背景：传统的鼻驼峰切除术是鼻整形术中的一种侵入性手术。楔形鼻背切除术（WO）可以获得自然无暇的鼻背：本研究的目的是描述鼻背 WO 技术，并研究其在矫正鼻整形术患者鼻背无驼峰和轻微驼峰方面的效果：作者在 2009 年 4 月至 2021 年 4 月期间进行了 488 例鼻部和鼻中隔整形手术。在排除主要驼峰患者后，对剩余的 312 名患者进行了二次评估，以确定是否适合进行楔形切除术。经过二次检查，87 名患者接受了手术，其中包括 19 名无驼峰（0 毫米）患者和 68 名小驼峰（1-3 毫米）患者：结果：大多数患者通过鼻背楔形切除术缩小了鼻骨驼峰，取得了令人满意的效果：结论：鼻背 WO 为选定的患者提供了创伤较小的骨驼峰缩小方法，确保了鼻背骨皮质的连续性。它减少了传统冠状面鼻穹窿切除术可能造成的鼻背不规则。同时，它还能提供自然、解剖准确的鼻背。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of African Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.