Gye Song Cho1, Yong Ju Jang. 1. Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
Abstract
OBJECTIVES/HYPOTHESIS: The present study analyzed 631 deviated nose cases to determine the overall success rate of correction, the treatment outcomes according to the different types of deviation, and the revision rate. STUDY DESIGN: Case series study. METHODS: We reviewed 631 patients who underwent rhinoplasty for correction of a deviated nose with a minimum follow-up of 18 months. Surgical outcomes were classified as excellent, good, fair, or no change. Deviations were classified into five types: type I, a straight tilted bony pyramid with straight tilted cartilaginous vault in the opposite direction; type II, a straight tilted bony pyramid with concavely or convexly bent cartilaginous vault; type III, a straight bony pyramid with tilted cartilaginous vault; type IV, a straight bony pyramid with bent cartilaginous vault, and type V, a straight tilted bony pyramid and tilted cartilaginous dorsum in the same direction. RESULTS: Postoperative assessment showed that 80.2% of the 631 patients had successful (excellent or good) outcomes, and 19.8% had unsuccessful (fair or no change) outcomes. Deformities of types I through V occurred in 169 (26.8%), 139 (22.0%), 150 (23.8%), 101 (16.0%), and 72 (11.4%) patients, respectively, of whom 34 (20.1%), 39 (28.1%), 11 (7.3%), 11 (10.9%), and 30 (41.7%) had unsuccessful outcomes. Analysis showed that the frequency of unsuccessful outcomes differed according to the deviation type (P < .001). Forty-one patients (6.5%) required revision rhinoplasty owing to dissatisfaction. CONCLUSIONS: An unsatisfactory surgical outcome is a significant risk following surgical correction of a deviated nose. The type of deviation affects the likelihood of a successful outcome. LEVEL OF EVIDENCE: 4.
OBJECTIVES/HYPOTHESIS: The present study analyzed 631 deviated nose cases to determine the overall success rate of correction, the treatment outcomes according to the different types of deviation, and the revision rate. STUDY DESIGN: Case series study. METHODS: We reviewed 631 patients who underwent rhinoplasty for correction of a deviated nose with a minimum follow-up of 18 months. Surgical outcomes were classified as excellent, good, fair, or no change. Deviations were classified into five types: type I, a straight tilted bony pyramid with straight tilted cartilaginous vault in the opposite direction; type II, a straight tilted bony pyramid with concavely or convexly bent cartilaginous vault; type III, a straight bony pyramid with tilted cartilaginous vault; type IV, a straight bony pyramid with bent cartilaginous vault, and type V, a straight tilted bony pyramid and tilted cartilaginous dorsum in the same direction. RESULTS: Postoperative assessment showed that 80.2% of the 631 patients had successful (excellent or good) outcomes, and 19.8% had unsuccessful (fair or no change) outcomes. Deformities of types I through V occurred in 169 (26.8%), 139 (22.0%), 150 (23.8%), 101 (16.0%), and 72 (11.4%) patients, respectively, of whom 34 (20.1%), 39 (28.1%), 11 (7.3%), 11 (10.9%), and 30 (41.7%) had unsuccessful outcomes. Analysis showed that the frequency of unsuccessful outcomes differed according to the deviation type (P < .001). Forty-one patients (6.5%) required revision rhinoplasty owing to dissatisfaction. CONCLUSIONS: An unsatisfactory surgical outcome is a significant risk following surgical correction of a deviated nose. The type of deviation affects the likelihood of a successful outcome. LEVEL OF EVIDENCE: 4.
Authors: Jonathan K Lin; Francis C Wheatley; Jason Handwerker; Norman J Harris; Brian J F Wong Journal: JAMA Facial Plast Surg Date: 2014 May-Jun Impact factor: 4.611