사비 환자에서 비강내 외측절골술과 경피적 외측절골술의 비교 분석

김성동; 박지환; 서효석; 이동주; 이유미; 조규섭

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자료유형: 학술저널

저자정보: 김성동 박지환 서효석 이동주 이유미 조규섭

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제62권 제3호

발행연도: 2019.1

수록면: 171 - 175 (5page)

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연구방법

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초록· 키워드

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Background and Objectives The purpose of this study was to compare the effectiveness of percutaneous and endonasal lateral osteotomy for the correction of deviated nose. Subjects and Method Medical records of 60 patients who underwent rhinoplasty to correct deviated nose were reviewed retrospectively. Patients with unilateral osteotomy, revision rhinoplasty, spreader graft, or who had no preoperative or postoperative photos were excluded from the study. The patients were categorized into two groups, which either had C-shaped deviation or I-shaped deviation. Preoperative and postoperative deviation angles were measured and their differences were analyzed according to the approach methods. Results In the percutaneous approach group, 26 patients had C-shaped deviation and 10 patients had I-shaped deviation, whereas in the endonasal approach group, 17 patients had C-shaped deviation and 7 patients had I-shaped deviation. In the percutaneous approach, the deviation angle was statistically improved in the C-shaped deviation, but in the endonasal approach, it was statistically improved in the C-shaped and I-shaped deviation after surgery. In the C-shaped deviation, the average degrees of improvement of percutaneous and endonasal approach were 5.2°±3.6° and 7.9°±5.3°, respectively, which showed significant difference. However, in the I-shaped deviation, the average degrees of improvement of percutaneous and endonasal approach were 2.9°±1.3° and 2.9°±1.0°, respectively, with no significant difference. Conclusion The improvement of deviation angle following osteotomy may be different according to the approach methods for deviated nose. Endonasal approach was more suitable than percutaneous approach in the correction of I-shaped deviated nose.

참고문헌 (13)

참고문헌 신청

Jang YJ / 2000 / Rhinoplasty using percutaneous osteotomy / Korean J Otorhinolaryngol-Head Neck Surg 43(9):952~955

Giacomarra V / 2001 / External osteotomy in rhinoplasty / Laryngoscope 111(3):433~438

Erdem T / 2008 / Objective measurement of the deviated nose and a review of surgical techniques for correction / Rhinology 46(1):56~61

Jin HR / 2006 / Key maneuvers for successful correction of a deviated nose in Asians / Am J Rhinol 20(6):609~614

Dnecke HJ / 1967 / Plastic surgery of head and neck: corrective and reconstructive rhinoplasty / Springler-Verlag NY Inc :48~67

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