Abstract
IntroductionThe first and one of the most important steps in facial plastic surgery is accurate preoperative facial analysis and recording of data that may help the surgeon to check the outcomes of his/her techniques, promoting a surgeon's professional development.ObjectiveTo evaluate the esthetic outcomes of external septorhinoplasty relevant to ethnic facial harmony and to investigate the relationship of the columellar incision scar with the type of skin and columellar incision type in a Turkish population.MethodsIn total, 28 consecutive adult male patients with a mean age of 32.14 ± 10.66 years (range: 18–61 years) were included the study. Primary outcomes were preoperative and postoperative photogrammetric facial analyses of the patients including measurement of nasofrontal angle, nasolabial angle and nasal projection ratios (Gode) assessed according to the data derived from the Rhinobase program. Results were compared to facial proportions of the Turkish population. Columellar incision scar scores related to the Fitzpatrick skin type classification of the patients and columellar incision types used for the external approach were secondary outcomes of the study.ResultsMean preoperative and postoperative nasofrontal angles were 148.04° ± 8.18° and 144.50° ± 7.15°, respectively, while mean preoperative and postoperative nasolabial angles were 87.59° ± 14.01° and 98.50° ± 9.71°, respectively. Mean preoperative and postoperative nasal tip projection ratios were 0.56 ± 0.05 and 0.60 ± 0.06, respectively. The differences between pre- and postoperative measurements were all significantly different and were in accordance with Turkish nasal harmony. Columellar inverted “V” incisions were performed in 15 (53.6%) patients while “V” incisions were used in 13 (46.4%) patients. Fitzpatrick skin Type 4 was seen in 46.42% of the patients, Fitzpatrick Type 3 in 46.42% and Fitzpatrick Type 2 in 7.14% of the patients. No significant difference was seen between columellar scar scores according to skin type and columellar incision type used for external septorhinoplasty.ConclusionsThis study demonstrated that outcomes for nasofrontal angle, nasolabial angle and nasal tip projection ratios analyzed using the Rhinobase program in patients who underwent external septorhinoplasty were similar to reference values for the Turkish population.
Highlights
The first and one of the most important steps in facial plastic surgery is accurate preoperative facial analysis and recording of data that may help the surgeon to check the outcomes of his/her techniques, promoting a surgeon’s professional development
The technical and procedural aspects of these two approaches are similar, the external approach is preferred over the closed technique as it is more beneficial in terms of good anatomical exposure enabling easy learning and teaching for the rhinoplasty surgeon.[1]
Mean preoperative Nasofrontal angle (NFA), Nasolabial angle (NLA) and tip projection ratios of the patients retrieved from the Rhinobase program were respectively 148.04◦ ± 8.18◦, 87.59◦ ± 14.01◦, and 0.56 ± 0.05
Summary
The first and one of the most important steps in facial plastic surgery is accurate preoperative facial analysis and recording of data that may help the surgeon to check the outcomes of his/her techniques, promoting a surgeon’s professional development. Objective: To evaluate the esthetic outcomes of external septorhinoplasty relevant to ethnic facial harmony and to investigate the relationship of the columellar incision scar with the type of skin and columellar incision type in a Turkish population. Pathologies underlying the nose, the patient’s expectation for surgery, age, gender, race, facial harmony and her/his ethnic characteristics may present considerable variabilities between populations.2---6. Besides all of these factors which should be carefully examined, facial analysis including nasofrontal, nasolabial, nasomental angles, tip projection ratios and tip deviation angles should be performed preoperatively using certain objective measures and methods to obtain successful results.[7,8] Pathologies underlying the nose, the patient’s expectation for surgery, age, gender, race, facial harmony and her/his ethnic characteristics may present considerable variabilities between populations.2---6 Besides all of these factors which should be carefully examined, facial analysis including nasofrontal, nasolabial, nasomental angles, tip projection ratios and tip deviation angles should be performed preoperatively using certain objective measures and methods to obtain successful results.[7,8]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
