Comparison of the Effect of Two Low to High Lateral Osteotomy Methods, Percutaneous and Internal On the Tear Trough and Scleral Show in Patients Undergoing Esthetic Open Rhinoplasty.

IF 0.9 Q3 SURGERY World Journal of Plastic Surgery Pub Date : 2024-01-01 DOI:10.61186/wjps.13.1.65
Ershad Hemmati, Razieh Moaref Pour, Mahdis Masudrad, Mozhgan Sametzade
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Abstract

Background: We aimed to compare the effect of two low to high lateral osteotomy methods, percutaneous and internal on the tear trough and scleral show in patients undergoing esthetic open rhinoplasty.

Methods: This prospective single-blind randomized clinical trial study was conducted on 80 patients in two groups of 40 candidates for rhinoplasty surgery referred to Imam Khomeini Hospital in Ahvaz, southern Iran in 2021. In the first group, lateral osteotomy was performed internally and in the other group, percutaneously. Then, the changes in tear trough and scleral show before surgery, one and three months after surgery were compared between two groups.

Results: The median of the medial limbus in the percutaneous group was about 0.38 higher than the internal group, but no significant difference was observed (P=0.322). Moreover, the median medial canthus in the percutaneous group compared to the internal group had no statistically significant difference (P=0.163). There was no significant difference in the average lateral limbus changes between the two groups (P=0.389). The median scleral show in all times before surgery, one and three months after surgery in the percutaneous group was higher than in the internal group, but the differences were not significant. In addition, the median scleral show changes before and three months after surgery in the percutaneous group were not remarkably different from the internal group (P=0.290).

Conclusion: Both techniques are almost similar in terms of periorbital effect after surgery in the early stages and 3 months after surgery. More multicenter studies with higher sample size and longer follow-up period seem necessary.

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比较两种从低到高的外侧截骨方法(经皮和内侧)对接受开放式鼻整形术的患者泪沟和巩膜显示的影响。
背景:我们的目的是比较经皮和内置两种低位至高位外侧截骨方法对接受开放式鼻整形术的患者泪沟和巩膜显示的影响:我们的目的是比较两种从低到高的外侧截骨方法(经皮和内侧)对接受开放式鼻整形手术的患者泪沟和巩膜显示的影响:这项前瞻性单盲随机临床试验研究于 2021 年在伊朗南部阿瓦士的伊玛目霍梅尼医院进行,两组共 80 名患者,每组 40 人。在第一组中,侧面截骨术在内部进行,在另一组中,侧面截骨术经皮进行。然后,比较两组患者术前、术后一个月和三个月的泪沟和巩膜显示变化:结果:经皮组的内侧缘中位数比内切组高出约 0.38,但无显著差异(P=0.322)。此外,经皮组的内侧眦角中位数与内侧组相比无统计学差异(P=0.163)。两组的平均侧缘变化无明显差异(P=0.389)。经皮组在术前、术后1个月和3个月的中位巩膜显示均高于内切组,但差异无显著性。此外,经皮组术前和术后三个月的中位巩膜显示变化与内镜组没有明显差异(P=0.290):结论:就术后早期和术后三个月的眶周效果而言,两种技术几乎相似。结论:两种技术在术后早期和术后 3 个月的眶周效果几乎相似,似乎有必要进行更多样本量更大、随访时间更长的多中心研究。
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