Impact of 2 Lateral Nasal Osteotomy Techniques on the Periorbital Subunits.

ABSTRACT

PURPOSE: The periorbital area undergoes a series of postoperative sequelae after rhinoplasty. PATIENTS AND METHODS: Between January 2015 and January 2016, 50 patients aged between 19 and 46 years who underwent rhinoplasty qualified for the study. Of these patients, 25 were chosen for each group One group underwent a low-to-low lateral nasal osteotomy, and the other group underwent a low-to-high lateral nasal osteotomy. Six specific periocular findings were designated and recorded to measure differences in the outcomes of the 2 osteotomy techniques. Specific periocular findings included the amount of scleral show as measured through the marginal reflex distance; lateral and medial scleral surface area; and palpebral fissure height, width, and inclination. RESULTS: There were no significant differences in any of the outcome variables at different intervals between the 2 groups (P > .05) except for palpebral fissure inclination after 3 months (P = .02). CONCLUSIONS: According to the results and considering the inherent limitations of the study, it can be concluded that both low-to-low and low-to-high techniques are similar and have no considerable permanent effects on the periorbital region.