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 (eFirst)

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.