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    Applied surgical methods and outcomes in crooked nose rhinoplasty
    (Verduci Publisher, 2023) Azizli, Elad; Oğuz, Oğuzhan; Muluk, Nuray Bayar; Sarı, Hüseyin; Dilber, Muhammet; Uyar, Yavuz; Cingi, Cemal
    OBJECTIVE: In this retrospective and multicentric study, we investigated applied surgical methods in rhinoplasty for crooked nose deformity. PATIENTS AND METHODS: The retrospective data for 300 crooked nose deformity cases (191 males and 109 females) were used in our study. Classification of the initial deformities was performed as (1) I-shaped crooked nose deformity, (2) C-shaped crooked nose deformity, (3) Reverse C-shaped crooked nose deformity, and (4) S-shaped crooked nose deformity. As an operation technique, L-strut septoplasty was performed. The applied surgical methods in rhinoplasty to correct the crooked nose are evaluated and classified. RESULTS: Our results showed that initial deformities in crooked nose patients were I-shaped crooked nose deformity (34%), C-shaped crooked nose deformity (28%), Reverse C-shaped crooked nose deformity (21.3%), and S-shaped crooked nose deformity (16.7%). L-strut septoplasty was performed, and the results of the applied methods to correct the crooked nose were evaluated and classified. It was noticed that more than one procedure was applied to each case: (1) double-side lateral osteotomy (86.6%), (2) wedge bone resection on one side of the osteotomy (7.3%), (3) single-side lateral osteotomy (6%), (4) symmetric spreader grafts (56%), (5) asymmetric spreader grafts (10.6%), (6) shaving of the transverse wing of dorsal septum (8%), (7) correction of deviated dorsal septum (16.3%), (8) displaced anterior nasal spine (12.6%), (9) clocking suture (dorsal septal rotation suture) (9%), (10) dorsal septal scoring and splinting graft (8.3%), and equalizing lateral cruses (12.6%). CONCLUSIONS: I-shaped and C-shaped crooked nose deformities were mainly detected in crooked nose deformity patients. Correcting the crooked nose, double- side lateral oste- otomy, and symmetric spreader grafts were the most applied techniques to correct the crooked nose. Other rhinoplasty techniques were also applied to these patients; more than one technique was needed.
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    COMPARISON OF THE EFFECTIVENESS OF NASAL SUTURES FOR ENSURING THE CONTINUITY OF NASAL PROJECTION AND MAINTAINING NASAL PROJECTION
    (2023) Azizli, Elad; Oğuz, Oğuzhan; Muluk, Nuray Bayar; Dündar, Rıza; Cingi, Cemal
    Objectives: In this retrospective study, four sutures frequently used for continuity of tip projection and arrangement of nasolabial angle were compared. Methods: A total of 400 patients who underwent rhinoplasty surgery with Tebbetts tip rotation suture, interdomal suture with cartilage strut, triple cartilage suture and tongue-in-groove suture between 2017 and 2022, completed a one-year postoperative period were included in the study. In 4 centers, four sutures frequently used for continuity of tip projection and arrangement of nasolabial angle were compared. The nasolabial angle and projection from the face were measured by using the lateral photographs taken before and one month, and one year after surgery. Nasolabial angle change between preoperative and postop first month; and postoperative first month-1st year were evaluated, and VAS for patient and surgeon satisfaction from rhinoplasty were evaluated. Results: Tebbett's Tip rotation suture, Interdomal suture with cartilage strut, and Triple cartilage suture's nasolabial angle change values were higher than Tongue-in-groove between preoperative period and postoperative first month; and at the first postoperative period (adjusted <0.0125). From the patients\" view, Group 1's patient satisfaction from the rhinoplasty results in VAS score was significantly higher than Group 4's. From the surgeons\" view, Group 1's surgeon satisfaction from the rhinoplasty results in VAS score was significantly higher than those of Group 2 and Group 4's surgeon satisfaction (adjusted <0.0125). Conclusion: It shows that continuity of tip projection was maintained by Tebbetts Tip rotation suture, interdomain suture with cartilage strut, and triple cartilage suture at one 1-year after the operation.