One stage vs. two stages septorhinoplasty for correction of deviated nose

Abstract

One -stage septorhinoplasty is standard technique for correction of
deviated nose, but still two stages technique are used. This study compare septal
complications and functional outcomes between septorhinoplasty and first stage
only septoplasty, and study the surgical approaches for second stage
(rhinoplasty )for correction of deviated nose (patients with previous
septoplasty). A retrospective case study of 110 patients with deviated nose
underwent endonasal septorhinoplasty in the Tikrit Teaching Hospital during 6
years period. 72 male and 38 female, mean ages was 26 years. The patients
divided into two groups:
A. Patients with one-stage septorhinoplasty, were 97 patients
B. Patients with septoplasty (first stage), were 13 patients.
The surgical steps for correction of deviated nose in the patients with
septoplasty was studied. Follow up of the patients for a minimum 6 months for
the septal condition and functional outcomes. The results founds the late
complications of nasal septum are less in one-stage septorhinoplasty than in
only septoplsty. Septal perforation were (2%),(23%) respectively. Failure of
septal correction (8%), (31%), nasal saddling and columellar retraction (4),
(23%), intranasal adhesions (1%) (15%) respectively. Functional improvement
in one stage septorhinoplasty (92%), in only septoplasty (69%). Second stage for
patients with previous septoplasty, 6 patients was done for them rhinoplasty
with limited dorsal septal dissection, five do septorhinopisty, and two needs
augmentation rhinoplasty. conclusions: One -stage septorhinoplasty procedure
gives better functional results and less septal complications than only septoplasty
as first stage, which made subsequent rhinoplasty more difficult.