MODERN APPROACH TO THE DIAGNOSTIC AND SURGICAL TREATMENT OF THE NASAL SEPTUM CURVATURE
1Khatlon State Medical University, Dangara, Republic of Tajikistan
2Department of Surgical Diseases № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
3Department of Reconstructive and Plastic Microsurgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan
Objective: Improving the results of septo- and rhinoplasty
Methods: The results of surgical treatment of 267 patients with the curvature of the nasal septum without or in combination with the deformation of the external nose are analyzed. The average age of patients was 22.4 years. All variety of forms of curvature of the nasal septum was systematized and conditionally distributed according to the classification of R. Mladina. Isolated curvature of the quadrangular cartilage was found only in 7 cases (2.6%). To determine the type of deformation of the external nose was used Yong Jo Jang’s classification. Septo- and septorhinoplasty in 250 cases (93.6%) was performed by open access. In general, septoplasty combined with rhinoplasty was performed in the majority of cases (n=242, 90.6%). Septoplasty is an isolated form was carried out only in 25 (9.4%) patients.
Results: Good and satisfactory long-term results were noted in 265 (99.2%) cases. An unsatisfactory result occurred in two (0.8%) patients who had a residual deformity of the external nose and deformation of the nasal septum. Various complications after septo- and septorhinoplasty were recorded in 11 (4.1%) cases
Conclusions: In most cases (79.4%), the curvature of the nasal septum is combined with the deformation of the external nose of various forms and severity, therefore, the elimination of the curvature of the nasal septum and correction of deformation of the external nose is advisable to perform simultaneously. Preference in performing septorhinoplasty should be given open access, which contributes to a more adequate and correct intervention
Keywords: The curvature of the nasal septum, deformity of the external nose, computed tomography, septorhinoplasty, open rhinoplasty.
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Kurbanov Ubaydullo Abduloevich
, Corresponding Member AMS of the Republic of Tajikistan, Doctor of Medical Sciences, Full Professor, Rector of Khatlon State Medical University ORCID ID: 0000-0002-5546-7180, Researcher ID: E-1476-2019
Makhmudov Ibodullo Khamidovich
, Competitor of the Department of Surgical Diseases № 2, Avicenna Tajik State Medical University ORCID ID: 0000-0002-2872-9261, Researcher ID: E-1470-2019
Dzhanobilova Sitora Murodilloevna
, Candidate of Medical Sciences, Surgeon of the Department of Reconstructive and Plastic Microsurgery, Republican Scientific Center for Cardiovascular Surgery ORCID ID: 0000-0001-9458-1798, Researcher ID: E-1438-201
Kholov Sharafdzhon Iskhokdzhonovich
, Surgeon of the Department of Reconstructive and Plastic Microsurgery, Republican Scientific Center for Cardiovascular Surgery ORCID ID: 0000-0003-1437-7979, Researcher ID: E-1387-2019
Dadodzhonov Zhakhongir Yuldoshmatovich
, Assistant, Department of Surgical Disciplines, Khatlon State Medical University ORCID ID: 0000-0002-9094-1386, Researcher ID: E-1461-201
Conflict of interest: No conflict
Address for correspondence:
Makhmudov Ibodullo Khamidovich
Competitor of the Department of Surgical Diseases № 2, Avicenna Tajik State Medical University
734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139
Tel.: +992 (907) 901585
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