Int Arch Otorhinolaryngol 2015; 19(01): 034-041
DOI: 10.1055/s-0034-1393721
Original Research
Thieme Publicações Ltda Rio de Janeiro, Brazil

Prospective Study of the Surgical Techniques Used in Primary Rhinoplasty on the Caucasian Nose and Comparison of the Preoperative and Postoperative Anthropometric Nose Measurements

Cezar Augusto Sarraf Berger
1   Fellowship Program on Facial Plastic Surgery, IPO Hospital, Curitiba, Paraná, Brazil
2   MSc in Surgical Practice, Universidade Federal do Paraná (UFPR), Curitiba, Paraná, Brazil
3   Department of Otolaryngology, UFPR Clinical Hospital (HC/UFPR), Curitiba, Paraná, Brazil
,
Renato da Silva Freitas
4   Chief of Plastic Surgery Procedure, UFPR, Curitiba, Paraná, Brazil
,
Osvaldo Malafaia
5   Titular Professor of Surgery, UFPR, Curitiba, Paraná, Brazil
6   Institute of Medical Research and of the Postgraduate Program; MSc and PhD on Surgery Principles, Evangélico University Hospital, Curitiba, Paraná, Brazil
,
José Simão de Paula Pinto
7   Department of Science and Information Management, UFPR, Curitiba, Paraná, Brazil
,
Evaldo Dacheux Macedo Filho
3   Department of Otolaryngology, UFPR Clinical Hospital (HC/UFPR), Curitiba, Paraná, Brazil
8   Department of NEP, IPO Hospital, Curitiba, Paraná, Brazil
,
Marcos Mocellin
3   Department of Otolaryngology, UFPR Clinical Hospital (HC/UFPR), Curitiba, Paraná, Brazil
,
Marina Serrato Coelho Fagundes
9   Department of Otolaryngology, IPO Hospital, Curitiba, Paraná, Brazil
› Author Affiliations
Further Information

Publication History

26 May 2014

13 August 2014

Publication Date:
02 December 2014 (online)

Abstract

Introduction The knowledge and study of surgical techniques and anthropometric measurements of the nose make possible a qualitative and quantitative analysis of surgical results.

Objective Study the main technique used in rhinoplasty on Caucasian noses and compare preoperative and postoperative anthropometric measurements of the nose.

Methods A prospective study with 170 patients was performed at a private hospital. Data were collected using the Electronic System Integrated of Protocols software (Sistema Integrado de Protocolos Eletrônicos, SINPE©). The surgical techniques used in the nasal dorsum and tip were evaluated. Preoperative and 12-month follow-up photos as well as the measurements compared with the ideal aesthetic standard of a Caucasian nose were analyzed objectively. Student t test and standard deviation test were applied.

Results There was a predominance of endonasal access (94.4%). The most common dorsum technique was hump removal (33.33%), and the predominance of sutures (24.76%) was observed on the nasal tip, with the lateral intercrural the most frequent (32.39%). Comparison between preoperative and postoperative photos found statistically significant alterations on the anthropometric measurements of the noses.

Conclusion The main surgical techniques on Caucasian noses were evaluated, and a great variety was found. The evaluation of anthropometric measurements of the nose proved the efficiency of the performed procedures.

 
  • References

  • 1 Gunter J. Dallas Rhinoplasty: Nasal Surgery by the Masters. St. Louis: Quality Medical Publishing; 2006: 2279
  • 2 Pinto JSP. Interface de visibilização de informações para o sistema integrado de protocolos eletrônicos [Tese]. Paraná, Brazil: Universidade Federal do Paraná, Setor de Ciências da Saúde; 2005: 111
  • 3 Maniglia AJ, Maniglia JJ, Maniglia JV. Rinoplastia Estética Funcional e Reconstrutora. São Paulo, Brazil: Revinter; 2002: 129-50
  • 4 Tardy M, Brown RJ. Surgical Anatomy of the Nose. New York, NY: Raven Press; 1990: 12-66
  • 5 Berger C. Electronic data collection for the analysis of surgical maneuvers on patients submitted to rhinoplasty. Int Arch Otorhinolaryngol 2012; 16 (4) 497-501
  • 6 Leong SCL, White PS. A comparison of aesthetic proportions between the healthy Caucasian nose and the aesthetic ideal. J Plast Reconstr Aesthet Surg 2006; 59 (3) 248-252
  • 7 Farkas LG, Katic MJ, Forrest CR , et al. International anthropometric study of facial morphology in various ethnic groups/races. J Craniofac Surg 2005; 16 (4) 615-646
  • 8 Patrocínio LG, Carvalho PM, de Souza HM, Couto HG, Patrocínio JA. Surgical maneuvers performed on rhinoplasty procedures carried out at an otorhinolaryngology residency program. Braz J Otorhinolaryngol 2006; 72 (4) 439-442
  • 9 Luce EA. Outcome studies and practice guidelines in plastic surgery [editorial]. Plast Reconstr Surg 1999; 104 (4) 1187-1190
  • 10 McKiernan DC, Banfield G, Kumar R, Hinton AE. Patient benefit from functional and cosmetic rhinoplasty. Clin Otolaryngol Allied Sci 2001; 26 (1) 50-52
  • 11 Doddi NM, Eccles R. The role of anthropometric measurements in nasal surgery and research: a systematic review. Clin Otolaryngol 2010; 35 (4) 277-283
  • 12 Piccardi GH. Assessing facial beauty through proportion analysis by image processing and supervised learning. Int J Hum Comput Stud 2006; 64 (12) 1184-1199
  • 13 Gruber RP, Weintraub J, Pomerantz J. Suture techniques for the nasal tip. Aesthet Surg J 2008; 28 (1) 92-100
  • 14 Guyuron B, Behmand RA. Nasal tip sutures part II: the interplays. Plast Reconstr Surg 2003; 112 (4) 1130-1145, discussion 1146–1149