THE ROLE OF NASAL BONE ANATOMY IN OSTEOTOMY TECHNIQUE SELECTION DURING COSMETIC AND FUNCTIONAL RHINOPLASTY

Abstract

Introduction: Rhinoplasty involves complicated surgery, and this involves advanced anatomical expertise, especially with regard to the nasal bones. The anatomy of the nasal bones determines, to a large extent, the design of the osteotomy and thus not only cosmesis but also nasal performance.

Objective: The purpose of the research was to evaluate how variations of the nasal bones' structure affect the selection of the method of osteotomy in the cosmetic and functional surgery of the nose.

Material and Method: The prospective study was undertaken at Al-Tibri Medical College and hospital located in Karachi during the period January, 2024 June, 2024. These nasal bone types were applied in classifying the patients (sixty patients in number) going through rhinoplasty, which were reviewed using the preoperative CT scans. The patient was anatomically assessed, and both internal and external osteotomy were carried out. The postoperative functional and aesthetic outcomes of the study were contrasted using the objective measurement of airflow and a satisfaction survey.

Results: Internal osteotomy was chosen in those with narrow and symmetric bone in the nose, and external osteotomy was selected in those with wide and deviated bones. The technique of assessing the anatomy paid off more, as there was more satisfaction with patients and an enhanced functionality.

Conclusion: The anatomy of the nasal bones is critical in the choice of osteotomy technique. Anatomy-based solutions made to fit an individual result in a better aesthetic and functional outcome in applications of rhinoplasty.