Retrospective study of analysis of 100 cases of septorhinoplasty by open versus closed rhinoplasty approach

Vilas R. Kirdak, Sambhaji G. Chintale, Sonali P. Jatale, Kaleem A. Shaikh


Background: Rhinoplasty is one of the great and most common cosmetic surgeries performed in current era for different type of reasons one main is for cosmetic and aesthetic one. Aim of this study is to know the functional and aesthetic outcome of septorhinoplasty by open and closed septorhinoplasty approach by using Nasal Obstructive Symptoms Evaluation (NOSE) score and ROE (Rhinoplasty Outcome Evaluation) score. To study the advantages of open rhinoplasty over closed rhinoplasty.

Methods: This is retrospective study carried out in our hospital. In this study all types of cases we divided them in to two groups. Group A is made for the cases which are operated by open rhinoplasty approach and group B for the cases witch are operated by closed septorhinoplasty approach.  

Results: In our study group of 100 patients, the mean age was 30 in male 24 yr. in female. In our study of 100 cases 50 cases operated by open rhinoplasty approach and 50 patients by endonasal (closed) approach. The postoperative functional state compared with the preoperative state (p<0.05). Preoperatively average NOSE score in Group A was seen to be 70.40±13.98 with postoperative average score to be 7.00±7.55 (p<0.05). The preoperatively average NOSE score in Group B was 68.60±13.26 with postoperative average score of 15.70±9.04 (p<0.05).

Conclusions: Open approach gives better functional results than closed approach. Open approach gives better aesthetic results than closed approach. Open approach septorhinoplasty can correct most of the deformities of the external nose along with any severity of septal deviation better than the closed approach.



Septorhinoplasty, Closed, Open, Aesthetics cosmetic

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