Assessment of the Anatomical Causes of Persistent Nasal Obstruction after Primary Septorhinoplasty Ibrahim Salim Hussain* Assist. Prof. Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Tikrit Medical College, Tikrit University, Salah Aldin, Iraq *Corresponding Author: Dr. Salim Hussain Ibrahim, Assist. Prof. Otorhinolaryngology, Head and Neck Surgery, Department of Surgery, Tikrit Medical College, Tikrit University, Salah Aldin, Iraq, Email: drnihadkhalawe@gmail.com
Online published on 19 August, 2019. Abstract Background Septorhinoplasty is an operation for improving the appearance of the nose and nasal breathing, but persistent nasal obstruction may occurs and may require revision surgery. Objectives To determine the incidence and significance of persistent nasal obstruction after septorhinoplasty with different external nasal deformities. To recognize the anatomical structures that cause persistent nasal obstruction and their surgical correction. Patients and Method A prospective case study of 39 patients who have persistent nasal obstruction from a total 230 patients who underwent closed septorhinoplasty at Tikrit Teaching Hospital and Private practice between January 2014 and June 2017. The nasal obstruction was subjectively graded by using Nasal Obstruction System Evaluation (NOSE)scale. Results Persistent nasal obstruction was found in (17%) after a minimum one year post operatively. It was common in patients with deviated nose (20.6%). The nasal septal deviation was the common anatomical cause (69.2%), surgical interference was indicated in (66.7%), and revision septoplasty was the common surgical procedure used (66.4%). Conclusion There was no statistically significant association between external nasal deviation with occurrence and severity of nasal obstruction, and between severity of nasal obstruction and type of external nasal deviation after septorhinoplasty. The surgical planning for septorhinoplasty must be taken in consideration the improving nasal air way, as well cosmetic outcome, to avoid revision surgery that are challenging operation with risk of septal perforation. Top Keywords Deviated nose, Nasal obstruction, Septorhinoplasty. Top |