TO STUDY THE SURGICAL OUTCOMES OF INTERNAL CONTINUOUS TECHNIQUE OF LATERAL OSTEOTOMY IN PATIENTS UNDERGOING CLOSED RHINOPLASTY

Abstract

An ideal nasal osteotomy technique delivers predictable control and precision to maximize the aesthetic and functional results in rhinoplasty surgery while limiting the potential for complications. We carried out a prospective study of surgical outcomes of the internal osteotomy technique performed during rhinoplasty. We performed an observational descriptive prospective study to analyse 25 patients of either sex with external nasal deformities who had undergone closed rhinoplasty between Oct 2021 to Oct 2022 at Santosh Medical College & Hospital,Gzb. Patients underwent endonasal low to high continuous lateral osteotomy with 4 mm curved guarded osteotome. Intraoperative comparison was done in terms of bleeding, ease of performing osteotomy, time taken for osteotomy, and for improvement in aesthetic appearance of nose. In our study, most patients belong to the age group ranging from 20 - 30 years, with mean age of 25.20 ± 3.57 years. Out of 25 who underwent internal osteotomy, 19 were males, and 6 were females. We found that excellent haemostasis was achieved in 9 cases.It  was observed that all the 25 patients developed postoperative oedema. On comparing the patient's satisfaction, it was observed that, 16 (64%) patients were very satisfied, 5 (20%) were moderately satisfied, and 4 (16%) patients were unsatisfied by the surgical outcome. In our study none of the patients developed any lacrimal sac problem, nasal cyst formation, anosmia, epiphora, canalicular bleeding, unstable bony pyramid, Rocker deformity, or Stair-step deformity.