[Post-operative evaluation of 63 cases of rhinoseptoplastie by nasal frameworks]. / Evaluation post-opératoire de 63 cas de rhinoseptoplastie par maquette de cartilage septale.

ABSTRACT

INTRODUCTION: The rhinoplasty is a difficult operation in plastic surgery of the face. The principles of the extracorporeal septoplasty were launched in the 50's, consisting of the treatment of the septal framework outside the nose. The most recent evolution, which is the creation of nasal frameworks required a precise evaluation of the results. PATIENTS AND METHODS: The patients having benefited from a rhinoseptoplasty by nasal frameworks are included. Eleven criteria are studied. Every patient is rated before and after rhinoplasty procedure, one point if improvement of the criterion, zero if no modification and -1 if degradation of the criterion. RESULTS: Sixty three patients were operated, 54 women and 9 men. The postoperative average follow-up is of 5 months. CONCLUSIONS: The cartilaginous nasal frameworks, allows on complex noses (diverted, traumatic), an improvement of the righteousness of the dorsum (88%), of the projection of the tip (82.5%), of the naso-labial angle (84%), lines of Sheen (63%). An extension of the middle nose is observed in 28% of the patients, counterparty of a functional and inhaling nose.