Orhan ÖZTURAN, Murat Cem MİMAN, Bahri YİĞİT, Yaşar ÇOKKESER, Ahmet KIZILAY, Davut AKTAŞ

Çarpık burunlara yaklaşım ve sonuçlarımız

Amaç: Çarpık burunlu olguların tedavisinde uygulanan ve çok çeflitlilik gösteren cerrahi tekniklere vesorunlara dikkat çekmek amaçlandı.Hastalar ve Yöntemler: Burun vertikal aksında deviasyon olan 59 olgu cerrahi olarak tedavi edildi. Otuz olguda C-, 29’unda I- tipinde çarpık burun vardı. Ameliyat öncesinde ve ameliyattan en az altı ay sonraçekilen anterior yüz fotoğrafları üzerinde deviasyonaçıları ölçüldü. Her iki gruptaki olgularda ulaflılan bafları düzeyi, ideal açıya yaklaflım oranlarına göre derecelendirildi ve karflılafltırma yapıldı.Bulgular: Her iki tipteki çarpık burunlarda, açılardaki düzelme çok anlamlı bulundu p

Anahtar Kelimeler:

Kıkırdak/cerrahi, burun kemiği/cerrahi/anormallik, nazal septum/cerrahi/anormallik, burun/anatomive histoloji/anormallik/cerrahi, burun deformiteleri, edinsel/cerrahi, rinoplasti/yöntem

Approaches to twisted noses and results of treatment

Objectives: The aim of this study was to address the multiplicity of surgical techniques and pitfalls in the treatment of twisted noses.Patients and Methods: Fifty-nine patients 43 males, 16 females; mean age 27 years; range 17 to 47 years with vertical axis deviation of the nose were surgically treated. Thirty patients had C-type and 29 patients had l-type twisted noses. Deviation angles were measured before and at least six months after the operation. Correction of deviations was graded according to the ideal angular values and the two groups were compared.Results: Significant correction was achieved in both types of twisted noses p<0.01 . The results of the I- twisted noses were significantly closer to the ideal angles compared to those of the C-twisted noses p<0.05 . Three patients underwent revision surgery.Conclusion: To correct functional and aesthetic problems in twisted noses, an external approach can be employed to straighten the nose by releas- ing, mobilizing, aligning and reinforcing the nasal anatomic structures. Cartilage grafts may be used to camouflage persistent deformities. C-twisted noses require more experience in, and familiarization with, a large number of surgical techniques.

Keywords:

Cartilage/surgery, nasal bone/surgery/abnormalities, nasal septum/surgery/abnormalities, nose/anatomy & histology/abnormalities/surgery, nose deformities, acguired/surgery, rhinoplasty/methods,

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