Rhinoplasty, also known as nose surgery is the surgical method of prolonging or shortening the nose, changing its shape and contours, narrow nostrils or lifting and defining the top of the nose. Aim of the article: Evaluation of efficacy of two surgical methods that solves the lack of aesthetic nasal hump–dorsal hump, compare postoperative course of the groups of patients and analysis of the effects of possible complications. Methodology and sample: Classic lateral osteotomy has its two modifications in our study; we used the method perforation made instrument osteotom with diameter 2mm. The second method is called controlled fracture can be for various instruments and even handle an instrument that is done follow, controlled the wrist. We do this intentional fracture of nasal bone in the expected area of suture between it and the continuation of the nasal maxilla. The study was conducted retrospectively on a total of 65 patients who underwent surgical treatment at the Clinic for ear, nose and throat disease of the Clinical Center, University of Sarajevo and the Clinic “Bosanes” in the past year. Although most patients combined with nasal arms there were other deformities, our research is based solely on the analysis of only one corrected aesthetic deficiency. Photos made with a digital camera used as a way to make a decision on the possible errors by comparing before and after surgery. Results: Significant differences exist when using one method over another and refer to the duration of postoperative period in patients of all ages and both sexes. And the result is significant complications resulting type of bleeding and the creation of periost hematoma. Research has shown that the patients underwent conventional method of lateral osteotomy had a longer recovery for 7 days, as well as the occurrence of complications expected for this procedure is present in most patients.
Key words: nasal crest, lateral osteotomy, controlled fracture, rhinoplasty.
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