Özet:

Introduction: The objective of rhinoplasty is to provide predictable changes in the nasal contours and improve nasal functions. Nasal osteotomy is a frequently used correction technique in rhinoplasty. However, the optimal osteotomy technique and approach remain a matter of dispute. Methods: In this study, 24 patients who underwent primary septorhinoplasty and 24 patients who underwent paranasal sinus computed tomography (CT) due to various causes were retrospectively assessed. Operated patients completing a minimum postoperative follow-up duration of 1 year were invited to the study center. Informed consent form was signed, and a CT of the nasal bone in the axial plane was performed. These recorded values were compared with their preoperative results and with non-surgical patients. Results: Comparison of data between postoperative and nonsurgical cases showed that there was a significant reduction in the ventral width of operated patients (p=0.022), whereas no significant difference was observed in the dorsal width despite bilateral spreader grafts (p=0.108). Conclusion: Our results suggest that the dorsal width in patients undergoing bilateral osteotomy and bilateral spreader grafts was not significantly different from those in non-operated subjects. Also, contrary to what one may expect, spreader grafts are not associated with an increased dorsal width.

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