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Revista de otorrinolaringología y cirugía de cabeza y cuello

versión On-line ISSN 0718-4816

Resumen

LAGOS V, Antonia et al. Rhinoseptoplasty: Three-year experience at the Pontificia Universidad Católica de Chile. Rev. Otorrinolaringol. Cir. Cabeza Cuello [online]. 2018, vol.78, n.3, pp.245-250. ISSN 0718-4816.  http://dx.doi.org/10.4067/s0717-75262018000300245.

Introduction:

Rhinoseptoplasty is a complex and challenging surgery. It addresses nasal aesthetics and functionality.

Aim:

To describe the experience in rhinoseptoplasty performed by the Nose Committee at our medical center.

Material and method:

Descriptive study, of the all rhinoseptoplasties performed by the Nose Committee between 2013 and 2015.

Results:

265 patients underwent surgery in the 3-year period; 164 (61.8%) were women and the mean age was 29 years (range 13-73). Most were primary surgeries (secondary: 2.6%). An external approach was most commonly used (92.5%). Nasal tip surgery was performed in 253 (95.5%) patients; osteocartilaginous dorsum reduction in 252 (95,1%), and augmentation in only 5 (1,9%). Osteotomies were frequent: paramedian in 229 (86.4%), bilateral percutaneous lateral osteotomies in 217 (81.9%) and unilateral percutaneous lateral in 17 (6.4%). Regarding nasal tip grafts, columellar strut was most often used, in 241 (90,9%) patients, followed by the shield graft in 69 (26,0%). For the dorsum, autospreaders were used in 124 (46.7%), and spreader grafts in 109 (41.1%).

Conclusions:

Open rhinoseptoplasty was the most commonly used approach. This has shown favorable for residents due to better exposition of nasal anatomy. Only 2.6% were secondary rhinoseptoplasties. We emphasize the use of the columellar strut for nasal tip support as we frequently encounter hispanic noses at our center.

Palabras clave : Rhinoseptoplasty; nasal tip; dorsum; grafts.

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