Comparison of Closed versus Open Rhinoplasty in Management of Traumatic Nasal Deformities in Terms of Mean Correction of Nasal Deviation

Nisar Akber Khan; Muhammad Dawood Saleem; Adeel Niaz; Muhammad Saeed; Tayyab Ihsan; Bilal Mahmood

doi:10.29054/apmc/2024.1180

Nisar Akber Khan Assistant Professor, Department of ENT, Faisalabad Medical University, Faisalabad Pakistan
Muhammad Dawood Saleem Assistant Professor, Department of ENT, Khawaja Muhammad Safdar Medical College, Sialkot Pakistan
Adeel Niaz Assistant Professor, Department of ENT, Lahore General Hospital, Lahore Pakistan
Muhammad Saeed Professor, Department of ENT, Faisalabad Medical University, Faisalabad Pakistan
Tayyab Ihsan MBBS Student, The Aga Khan University, Karachi Pakistan
Bilal Mahmood Post Graduate Resident, Department of ENT, Allied Hospital, Faisalabad Pakistan

DOI: https://doi.org/10.29054/apmc/2024.1180

Keywords: Nasal deformities, Open versus closed rhinoplasty, Mean nasal deviation correction

Abstract

Objective: The Aim was to contrast the mean correction of nasal deviation between closed and open rhinoplasty in treating traumatic nasal abnormalities. Techniques: An RCT was used. The OPD of ENT Unit-1 Allied Hospital Faisalabad enrolled 60 patients matching the inclusion criteria. Both open (Group A) and closed (Group B) rhinoplasties were done at random using the lottery technique. Under GA, the same consultant carried out the surgeries. Patients were monitored for a month in order to address nasal deviations (at post-operative, second and fourth week). Final evaluation was conducted on 28th day. Results: In Group A 33.33 percent and in Group B 40 percent patients were between the ages of 41 and 60. In Group A (open approach) 66.67 percent (n=20) and in Group B (closed approach) 60 percent (n=18) were between the ages of 18 and 40. The mean and standard deviation were 35.4+11.02 and 37.53+10.91 years, respectively. Males in group A made up 70 percent (n=21) and of Group B 63.33 percent(n=19), whilst females in group A made up 30 percent (n=9) and in group B 36.67 percent (n=11). The bony component was corrected as 16.00+3.59 in A Group and 10.40+2.59 in B Group, with a p-value of .001, while the cartilage component was corrected as 11.63+1.92 in A Group and 7.40+4.45 in B Group, with a p-value of .0001, indicating a significant difference. Conclusion: open rhinoplasty improves mean nasal deviation better than closed rhinoplasty.