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Volume: 51 - Issue: 1

First page: 77 - Last page: 87

N. Boulanger - C. Baumann - R. Beurton - H. Elueque - P. Gallet - R. Grosjean - P. Lindas - C. Lorentz - R. Jankowski

OBJECTIVE: This study was aimed to assess the early morphological results of a new septorhinoplasty technique based on disarti- culation (SRD) between bony and cartilaginous nose structures.
METHODOLOGY: A retrospective, multi-judge, blind comparison of pre- and post-operative photographs displayed on Google documents© was designed. A nasal morphology analysis grid based on 10 items was fulfilled independently by 6 judges to assess pre- and post-operatively, two times with a 15 day interval, the severity of each deformity by a score between 0 and 2. The sum of all deformities in a single patient produced the individual global score of nasal deformity, which was set between 0 and 20 for each patient. Pre- and post-operative individual global scores were compared using Student’s t test on paired samples. Percenta- ges of post-operative improvement and deterioration were calculated for each item.
RESULTS: Thirty-five SRD were analyzed. Before surgery, 80% of noses were humped and 86% were crooked; three months after surgery, 64% of noses had a rectilinear nasal crest on profile and 57% on facial view. The mean global score of deformities drop- ped from 11.1 before surgery to 5.8 after surgery, an improvement of 47% . Improvement rates of 82% and 74.3% were obtained, respectively, for hump profiles and orbitonasal lines.
DISCUSSION: The early morphological results of SRD allow to propose this technique as a possible solution to correct crooked noses with humps.

Rhinology 51-1: 77-87, 2013