Intranasal Extramucosal Access: A New Access for Lateral Osteotomy in Open Rhinoplasty

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dc.contributor.authorTellioglu, Ali Teoman
dc.contributor.authorSari, Elif
dc.contributor.authorOzakpinar, Hulda Rifat
dc.contributor.authorEryilmaz, Tolga
dc.contributor.authorInozu, Emre
dc.contributor.authorSen, Tulin
dc.contributor.authorTekdemir, Ibrahim
dc.date.accessioned2020-06-25T18:16:35Z
dc.date.available2020-06-25T18:16:35Z
dc.date.issued2016
dc.departmentKırıkkale Üniversitesi
dc.descriptionESMER, TULIN SEN/0000-0002-1879-1790
dc.description.abstractBackground and Objective: Different accesses have been used to perform lateral osteotomies in rhinoplasty. All of them have some disadvantages. The aim of this paper was to report a new access to overcome drawbacks of the other techniques in lateral osteotomy during open rhinoplasty. Methods: An anatomical study was designed to search possibility of intranasal extramucosal access (open sky access) for the lateral osteotomy in open rhinoplasty. It was performed directly on the lateral wall of piriform aperture, and then possible advantages of this technique were investigated. Five fixed cadavers were used for this purpose. No drawbacks were observed during procedure in cadavers. Then the same procedure was performed in 23 consecutive rhinoplasty patients. Nineteen operations were primary and 4 operations were secondary. Median oblique osteotomies were added to the procedure in all patients. The mean follow-up was 17 months. Results: Intranasal extramucosal access during lateral osteotomy was easily performed in all patients. Hemorrhage due to angular vessel injury was not occurred during intraoperative period. Edema and ecchymosis was minimal. Intranasal examination did not show any sign for nasal mucosal tearing in all patients. Residual bone spurs or bone irregularities were not observed in any patients. Conclusion: Intranasal extramucosal access that produces precise, predictable, and reproducible aesthetic and functional results could also provide better exposure during lateral osteotomy. Additionally, open sky access minimizes scars because it does not need additional incisions on the skin and mucosa. Protection of the internal periosteum of the nasal bones may be the main advantages of this technique.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1097/SCS.0000000000002475
dc.identifier.endpageE259en_US
dc.identifier.issn1049-2275
dc.identifier.issn1536-3732
dc.identifier.issue3en_US
dc.identifier.pmid26999695
dc.identifier.scopus2-s2.0-84961392793
dc.identifier.scopusqualityQ3
dc.identifier.startpageE257en_US
dc.identifier.urihttps://doi.org/10.1097/SCS.0000000000002475
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6570
dc.identifier.volume27en_US
dc.identifier.wosWOS:000376992200014
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Craniofacial Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLateral osteotomyen_US
dc.subjectopen rhinoplastyen_US
dc.subjectseptorhinoplastyen_US
dc.titleIntranasal Extramucosal Access: A New Access for Lateral Osteotomy in Open Rhinoplastyen_US
dc.typeArticle

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