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9.Comparative Assessment of Internal Osteotomy with External Osteotomy in Patients Undergoing Cosmetic Rhinoplasty; A Randomized Controlled Trail
Qasar Abbas Malik, Shahi Zeb, Usama Naveed Cheema, Mehwish Haqdad, Sabeen Sajida and Khalid Munir
ABSTRACT
Objective: To assess and compare surgical outcomes of external and internal osteotomies in patients undergoing rhinoplasty.
Study Design: A Randomized Controlled Trial study
Place and Duration of Study: This study was conducted at the Otorhinolaryngology, Central Park Teaching Hospital Lahore from November 2022 to June 2023.
Methods: A randomized controlled trial was conducted, enrolling 400 patients in two groups: internal osteotomy (Group-A) and external osteotomy (Group-B). Stratification was based on age and gender. Measurements of nasal dorsum width and base were taken post-surgery, and statistical analysis was performed.
Results: The study revealed statistically significant differences between the two groups in nasal dimensions. Both age groups (16-30 and 31-50) and genders exhibited significant differences, emphasizing the impact of osteotomy techniques on nasal measurements. Internal osteotomy offers discreet scarring and controlled modifications, while external osteotomy allows intricate adjustments but may leave a small scar.
Conclusion: This study contributes insights into personalized surgical decision-making for optimal aesthetic outcomes. Surgeons must consider patient preferences, anatomy, and desired outcomes when choosing osteotomy techniques. Further research with long-term follow-up could elucidate the durability of these differences and their effect on patient satisfaction and quality of life.
Key Words: Cosmetic rhinoplasty, internal osteotomy, external osteotomy, nasal aesthetics, surgical outcomes, patient satisfaction