MODERN APPROACH TO THE DIAGNOSTIC AND SURGICAL TREATMENT OF THE NASAL SEPTUM CURVATURE

Abstract

Objective: Improving the results of septo- and rhinoplasty Methods: The results of surgical treatment of 267 patients with the curvature of the nasal septum without or in combination with the deformation of the external nose are analyzed. The average age of patients was 22.4 years. All variety of forms of curvature of the nasal septum was systematized and conditionally distributed according to the classification of R. Mladina. Isolated curvature of the quadrangular cartilage was found only in 7 cases (2.6%). To determine the type of deformation of the external nose was used Yong Jo Jang’s classification. Septo- and septorhinoplasty in 250 cases (93.6%) was performed by open access. In general, septoplasty combined with rhinoplasty was performed in the majority of cases (n=242, 90.6%). Septoplasty is an isolated form was carried out only in 25 (9.4%) patients. Results: Good and satisfactory long-term results were noted in 265 (99.2%) cases. An unsatisfactory result occurred in two (0.8%) patients who had a residual deformity of the external nose and deformation of the nasal septum. Various complications after septo- and septorhinoplasty were recorded in 11 (4.1%) cases Conclusion: In most cases (79.4%), the curvature of the nasal septum is combined with the deformation of the external nose of various forms and severity, therefore, the elimination of the curvature of the nasal septum and correction of deformation of the external nose is advisable to perform simultaneously. Preference in performing septorhinoplasty should be given open access, which contributes to a more adequate and correct intervention

Keywords

• the curvature of the nasal septum
• deformity of the external nose
• computed tomography
• septorhinoplasty
• open rhinoplasty.