COMPARATIVE ASSESSMENT OF METHODS OF CORRECTION OF SADDLE DEFORMATION OF A NOSE

• Main Author: Хакимжан Салижанович Рахманов
• Format: Article
• Language: Russian
• Published: The Publishing House Medicine and Enlightenment 2017-06-01
• Series: Medicina v Kuzbasse
• Subjects: пластическая хирургия; ринопластика; хирургический и инъекционный метод; аутотрансплантаты; эндопротез; филлеры; седловидный нос
• Online Access: http://mednauki.ru/index.php/MK/article/view/82

In this work efficiency of surgical and injection methods of correction of saddle-like deformation of a nose is compared. Saddle-like deformation of a nose of I, II degrees with ease gives in to injection tekhnikamy. The III degrees it is successful and in the full esthetic and functional relation improve surgically. Expeditious receptions allow to recreate anatomically the correct forms in difficult cases of the IV degree of expression of defect. At injection correction it is necessary to repeat the procedure each 6-12 months. And the surgical method yields result long-term. Objective – methods of correction of saddle deformation of a nose at female residents of Novosibirsk during 2014-2016. Research objective – comparative assessment of methods of correction of saddle deformation of a nose. Methods. The research was carried out in ООО «Siberian Institute of Beauty» during 2014-2016 in which 40 patients from 16 to 60 years with various extents of saddle deformation of a nose took part. Patients were divided into two groups: in the first group the surgical method, in the second – injection was used. In work the following methods have been used: photodocumenting of the patient at all stages of correction of the studied defect, the analysis of geometrical parameters in a sagittalny projection during the period before correction, the comparative analysis of the received results. Results. At injection correction it is necessary to repeat the procedure each 6-12 months. And the surgical method yields result-long. Conclusions. 1. Saddle deformation of a nose of the I degree with ease gives in to correction by injection technicians. Meanwhile, intradermal administration of filler, an excess compression and the thromboembolic phenomena can lead to irreversible consequences. Especially it is urgent in attempts to execute full correction of III and IV extents of deformation exclusively injection. As contraindications to these techniques serve cicatrical deformations, and also microcirculation disturbances. III and IV degrees badly give in to injection correcting, even on condition of step-by-step filling, but are suitable for the contingent of the patients not ready to operative measures. 2. Saddle deformations of a nose of the I-III degree it is successful and in the full esthetic and functional relation improve surgically. Expeditious receptions allow to recreate anatomically the correct forms even in extremely difficult cases of the IV degree of expression of defect. 3. Injection rhinoplasty is the unique way of correction of a saddle nose in the absence of the layer of soft tissues necessary for implantation of an endoprosthesis.