Impact of 2 Lateral Nasal Osteotomy Techniques on the Periorbital Subunits Publisher Pubmed



Keyhan SO¹ ; Fallahi HR² ; Fattahi T³ ; Nourbakhshian F⁴ ; Cheshmi B⁵
Source: Journal of Oral and Maxillofacial Surgery Published:2020

Abstract

Purpose: The periorbital area undergoes a series of postoperative sequelae after rhinoplasty. Patients and Methods: Between January 2015 and January 2016, 50 patients aged between 19 and 46 years who underwent rhinoplasty qualified for the study. Of these patients, 25 were chosen for each group: One group underwent a low-to-low lateral nasal osteotomy, and the other group underwent a low-to-high lateral nasal osteotomy. Six specific periocular findings were designated and recorded to measure differences in the outcomes of the 2 osteotomy techniques. Specific periocular findings included the amount of scleral show as measured through the marginal reflex distance; lateral and medial scleral surface area; and palpebral fissure height, width, and inclination. Results: There were no significant differences in any of the outcome variables at different intervals between the 2 groups (P >.05) except for palpebral fissure inclination after 3 months (P =.02). Conclusions: According to the results and considering the inherent limitations of the study, it can be concluded that both low-to-low and low-to-high techniques are similar and have no considerable permanent effects on the periorbital region. © 2020 American Association of Oral and Maxillofacial Surgeons