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IRCT20230812059129N1 IRCT 2023-10-02 Arak University of Medical Sciences comparison of results following septorhinoplasty with modified swing door (before and after clinical trial) Comparison of results following septorhinoplasty with modified swing door (before and after clinical trial) 2023-08-20 anticipated 30 Complete https://irct.ir/trial/71998 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment. N/A nasal septal deviation. Intervention group: First, photographs are taken of the patients before the operation. Septoplasty is performed by a surgeon on patients with a new method. In this technique, all rhinoplasty surgeries are performed under general anesthesia and open surgery technique is used for better access to the septum. The skin flap of the dorsum of the nose is raised. In the midline, the middle and medial domes and coruras as well as the upper lateral cartilages are separated from the septum and an excellent access to the septum is achieved. Submucoperichondral flaps are raised bilaterally. In patients with cartilaginous or bony hump, the bony hump is removed with the help of a rasp and the cartilaginous hump is removed with a No. 15 blade. l-strut is prepared with a No. 15 blade so that its caudal edge is at a distance of ten mm from the caudal edge of the septum and its lateral edge is at a distance of 20 mm from the lateral edge of the septum. The cartilaginous clamp is harvested from the caudal part of the dorsal incision and in the vicinity of the bony septum. Then, an incision is made parallel to the transverse surface of the septum and at a distance of 10 mm from it, from the caudal septum (Heidarizadeh incision), which determines the length of this incision, the location and the amount of deviation of the septum. The cartilage clamp harvested in the previous stage is placed vertically between the two horizontal parts created as a result of Heidarizadeh incision, without any additional maneuvers, and separates the two parts of the septum in the area of ​​the tip of the nose like a wedge. The cephalocaudal position of this grip is also dependent on the severity of the deviation and the amount of correction required. For the plastic type, after cephalic resection, transdome and interdome sutures are applied; The columellar strut is placed, and then a 2mm thick and 7mm wide cap is placed in the area of ​​the dome (the distance between the tip defining points). Finally, diced cartilage is placed and osteotomy is performed externally. If needed, alarplasty is performed in the usual way by resection of a wedge-like area and the area is sutured with 0-6 nylon thread. An intranasal splint is used for one week. Extranasal splint remains in the area for one week. Three months after the surgery, photographs are taken of the patients.. Yes - There is a plan to make this available What will be shared: The results of analyzes and data of each patient are accessible When: A year after the publication of the article To whom: Academic researchers and reviewers of medical journals Conditions: Any analysis on the data of each patient is allowed, but it should be done by referees of medical journals Where to obtain: The author and journal published the article How to obtain: The email will be given to the author or the publishing journal and the information will be sent shortly. Comments:
public Mehdi Heidarizadeh
School of dentistry, Arak University of Medical Sciences, in front of Madar park, Golestan Quarter, Mostafa Khomeini st.
Arak Iran (Islamic Republic of) 3819737447 +98 912 032 9564 heidarizadeh@ajums.ac.ir Arak University of Medical Sciences scientific Mehdi Heidarizadeh
School of dentistry, Arak University of Medical Sciences, in front of Madar park, Golestan Quarter, Mostafa Khomeini st.
Arak Iran (Islamic Republic of) 3819737447 +98 912 032 9564 heidarizadeh@ajums.ac.ir Arak University of Medical Sciences Iran (Islamic Republic of) Adult patients over 18 years old Suffering from nasal deformity and deviation in the septum Rhinoplasty applicant No cancer The absence of diabetes, cardiovascular problems and immune system defects 18 years no limit Both History of previous rhinoplasty J34.2 Deviated nasal septum Treatment - Surgery Intervention group: First, photographs are taken of the patients before the operation. Septoplasty is performed by a surgeon on patients with a new method. In this technique, all rhinoplasty surgeries are performed under general anesthesia and open surgery technique is used for better access to the septum. The skin flap of the dorsum of the nose is raised. In the midline, the middle and medial domes and coruras as well as the upper lateral cartilages are separated from the septum and an excellent access to the septum is achieved. Submucoperichondral flaps are raised bilaterally. In patients with cartilaginous or bony hump, the bony hump is removed with the help of a rasp and the cartilaginous hump is removed with a No. 15 blade. l-strut is prepared with a No. 15 blade so that its caudal edge is at a distance of ten mm from the caudal edge of the septum and its lateral edge is at a distance of 20 mm from the lateral edge of the septum. The cartilaginous clamp is harvested from the caudal part of the dorsal incision and in the vicinity of the bony septum. Then, an incision is made parallel to the transverse surface of the septum and at a distance of 10 mm from it, from the caudal septum (Heidarizadeh incision), which determines the length of this incision, the location and the amount of deviation of the septum. The cartilage clamp harvested in the previous stage is placed vertically between the two horizontal parts created as a result of Heidarizadeh incision, without any additional maneuvers, and separates the two parts of the septum in the area of ​​the tip of the nose like a wedge. The cephalocaudal position of this grip is also dependent on the severity of the deviation and the amount of correction required. For the plastic type, after cephalic resection, transdome and interdome sutures are applied; The columellar strut is placed, and then a 2mm thick and 7mm wide cap is placed in the area of ​​the dome (the distance between the tip defining points). Finally, diced cartilage is placed and osteotomy is performed externally. If needed, alarplasty is performed in the usual way by resection of a wedge-like area and the area is sutured with 0-6 nylon thread. An intranasal splint is used for one week. Extranasal splint remains in the area for one week. Three months after the surgery, photographs are taken of the patients. Objective comparison of angles with deviation of anthropometric parameters. Timepoint: 3-months after surgery. Method of measurement: Face photographs. Evaluation of nasal deformity before and after septorhinoplasty. Timepoint: 3-months after surgery. Method of measurement: MiRa standard scale. Evaluation of patient satisfaction after septorhinoplasty. Timepoint: 3-months after surgery. Method of measurement: Rhinoplasty Outcome Evaluation (ROE) scale. - Approved 2023-07-04 Ethics Committee of Arak University of Medical Sciences Sardasht Arak Markazi Iran (Islamic Republic of)