Comparison of Rate and Severity of Nasal Mucosal Tear with Internal and External Lateral Nasal Osteotomy Using Endoscope

Nose Lateral osteotomy is known as a major constituent of nose plastic surgery to correct nasal bone deformity and reducing nasal bone width. Different methods of osteotomy have been introduced so far that are categorized into two common internal and external methods. The surgeon has little control on this phase of nose plastic surgery. Several complications have been mentioned for Lateral osteotomy such as bleeding, infection, extensive edema, olfactory lost, nasolacrimal duct damage, nasal obstruction and facial deformity [1,2]. Surgery technique and application of osteotomy is an important factor in reducing aftersurgery complications in nose plastic surgery. Some researchers have mentioned the importance of maintaining adhesion of perioust to bone in reducing after-surgery complications. However, these researchers have not compared the intensity of mucosal laceration in internal and external methods and the after-surgery complications are mostly associated with the intensity of nasal mucus and soft tissues damage rather than absence or presence of nasal mucus laceration alone [3,4]. Not a single study has been conducted on comparing the laceration intensity in the internal and external methods since now and those studies related to this field have compared the incidence rate of laceration in these methods. Nonetheless, it seems that after-surgery complications are mostly associated with nasal mucus laceration intensity. A heavy damage to nasal mucus can increase bleeding, extension of edema period after the surgery, instability of bone fragment and consequently non symmetry and dissatisfaction of the patient from plastic surgery results. Edema and ecchymosis are annoying for the patient and to gain patient’s satisfaction surgery method should be applied which has the least complication and the best results [4-6]. For this purpose, we tried to investigate the nasal mucus laceration rate in internal and external nose lateral osteotomy in patients who referred to Tabriz hospitals and were candidates for plastic surgery. Volume 5 Issue 4 2016