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Submitted: 24 August 2016 Modified: 13 March 2017

Herdin Record #: PCHRD16082417035311

An initial survey of septorhinoplasty in crooked nose deformities.

Researchers

NameRole
1Cesar V. Villafuerte Jr. Author
2Alexander Edward S. Dy Author
3José Florencio  F. Lapeña Jr. Author

Related Institutions

Institutions NameRole
Department of Otorhinolaryngology, College of Medicine - Philippine General Hospital, University of the Philippines-Manila Authors Affiliation
Department of Otorhinolaryngology - Philippine General Hospital, University of the Philippines-Manila Authors Affiliation

Publication Information

1.
Publication Type:
Journal
Publication Sub Type:
Journal Article, Original
Title:
Philippine Journal of Otolaryngology Head and Neck Surgery
Frequency:
Semi-Annual
Publication Date:
January-June 2016
Volume:
31
Issue:
1
Page(s):
31-34
Publisher:
Philippine Society of Otolaryngology Head and Neck Surgery

Abstract

OBJECTIVE: Crooked  nose  deformity  is  a  commonly  seen  reason  for  septorhinoplasty  in  the otolaryngology clinic. The purpose of this study is to initially determine the different etiologies of  patients  with  crooked  nose  deformities  who  underwent  septorhinoplasty,  and  to  describe the different types of crooked nose by their level of deviation and surgical management in our institution.
METHODS:
   Design: Case Series
   Setting: Tertiary Public University Hospital
  Participants: A chart review of all patients with a crooked nose deformity who were admitted  at the otorhinolaryngology ward of the National University Hospital and underwent septorhinoplasty from January 2012 to January 2015 was conducted, and data consisting of age, sex, etiology of crooked nose deformity, level of deviation, cartilage source, and surgical intervention were obtained and analyzed.
RESULTS: A total of 21 patients underwent septorhinoplasty for crooked nose deformity  in  the study period. The most common etiology for crooked nose was physical violence (13/21 or 62%), followed by sports injury (4/21 or 19%), vehicular accidents (2/21 or 9%), and accidental fall (1/21 or 5%). There were more upper and middle third deviations than lower third deviations. Sixteen out of 21patients  (76%) underwent  open  rhinoplasty,  while  the  rest underwent an endonasal approach. Twelve (57%) underwent intervention  on  the  nasal  fracture after at least a year (old or  neglected  fracture) as compared to the 9 (43%) who had  immediate intervention after less than two weeks. Thirteen used septal cartilage, while 4 used conchal cartilage, and 1 used tragal cartilage. The most common grafts used were spreader  and camouflage, followed closely by dorsal onlay, and columellar strut grafts.
CONCLUSION: The majority of crooked nose deformities that were subjected to septorhinoplasty in our department were secondary to old nasal bone fractures caused by physical violence. Upper and middle  third level deviations were more common, and most underwent open rhinoplasty with autologous cartilage grafts. Future studies may increase our understanding of, and improve our techniques in septorhinoplasty for crooked nose deformities in Filipino noses in particular, and Asian noses in general.


Physical Location

LocationCall NumberAvailable FormatAvailability
Philippine Journal of Otolaryngology Head and Neck Surgery Website Fulltext External Link (View)
Philippine Journal of Otolaryngology Head and Neck Surgery Website Fulltext pdf (Request Document)