비중격 교정술 후 안장코 변형이 오는 위험 인자에 관한 분석

최관; 김주연; 김영준; 장성욱; 조주완; 권재환

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자료유형: 학술저널

저자정보: 최관 김주연 김영준 장성욱 조주완 권재환

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제58권 제12호

발행연도: 2015.1

수록면: 859 - 864 (6page)

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Background and Objectives Surgeons operate carefully to prevent nasal deformity during septoplasty, however, rarely unfavorable esthetic outcomes such as saddle nose deformity may occur. This study was designed to investigate patient factors associated with post-septoplasty saddle deformity. Subjects and Method Of 588 patients who underwent endonasal conservative septoplasty from Jan. 2011 to Dec. 2014, a total of 183 patients were enrolled in this study group after exclusion. Patients were divided into two groups: 12 patients who developed saddle deformity of nasal dorsum after septoplasty belonged to the ‘deformity group’, and the remaining 171 patients were enrolled in the ‘non-deformity group’. We investigated preoperative external nose status, patterns of septal deformity, dorsal septal thickness, the angle of axial and coronal deviation of caudal sepum on CT scan. Results The postoperative saddle deformity was not found to correlate with the location of the most deviated septum and the thickness of dorsal septum (p＞0.05). 50% of patients in the deformity group had saddle nose preoperatively, showing statistical differences between the two groups (p=0.000). 75% of patients in the deformity group had severe deviation at the most deviated site, also showing a significant difference compared with the non-deformity group (p=0.011). The axial and coronal deviation angle of caudal septum in the deformity group were significantly increased compared with the non-deformity group (p＜0.01). Conclusion The preoperative saddle nose, severity of deviation, and angle of axial and coronal deviation of caudal septum are all possible risk factors of postoperative saddle deformity. We recommend that the surgeon should check these factors before septoplasty to prevent postoperative saddle nose deformity. Background and Objectives Surgeons operate carefully to prevent nasal deformity during septoplasty, however, rarely unfavorable esthetic outcomes such as saddle nose deformity may occur. This study was designed to investigate patient factors associated with post-septoplasty saddle deformity. Subjects and Method Of 588 patients who underwent endonasal conservative septoplasty from Jan. 2011 to Dec. 2014, a total of 183 patients were enrolled in this study group after exclusion. Patients were divided into two groups: 12 patients who developed saddle deformity of nasal dorsum after septoplasty belonged to the ‘deformity group’, and the remaining 171 patients were enrolled in the ‘non-deformity group’. We investigated preoperative external nose status, patterns of septal deformity, dorsal septal thickness, the angle of axial and coronal deviation of caudal sepum on CT scan. Results The postoperative saddle deformity was not found to correlate with the location of the most deviated septum and the thickness of dorsal septum (p＞0.05). 50% of patients in the deformity group had saddle nose preoperatively, showing statistical differences between the two groups (p=0.000). 75% of patients in the deformity group had severe deviation at the most deviated site, also showing a significant difference compared with the non-deformity group (p=0.011). The axial and coronal deviation angle of caudal septum in the deformity group were significantly increased compared with the non-deformity group (p＜0.01). Conclusion The preoperative saddle nose, severity of deviation, and angle of axial and coronal deviation of caudal septum are all possible risk factors of postoperative saddle deformity. We recommend that the surgeon should check these factors before septoplasty to prevent postoperative saddle nose deformity.

#Saddle nose #Septoplasty

참고문헌 (15)

참고문헌 신청

Bernstein L / 1973 / Submucous operations on the nasal septum / Otolaryngol Clin North Am 6 (3) : 675 ~ 692

Buyuklu F / 2009 / Outfracture of the Inferior Turbinate: a computed tomography study / Plast Reconstr Surg 123 (6) : 1704 ~ 1709

Chen YL / 2008 / Long-term efficacy of microdebriderassisted inferior turbinoplasty with lateralization for hypertrophic inferior turbinates in patients with perennial aller

Chung BJ / 2007 / Endoscopic septoplasty:revisitation of the technique, indications, and outcomes / Am J Rhinol 21 (3) : 307 ~ 311

Ernst RK / 1995 / Head and Neck Surgery / Georg Thieme Verlag : 381 ~ 391

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