Abstract
A visible scar on the columella is undesirable result for both patient and surgeon. So it is one of the major disadvantage of open nose surgery. Different columellar incision types have been used in open technique of nasal surgery. In this prospective study, we compare W incisions and inverted-V columellar incisions with a scar assessment scale. In this prospective randomized study, open nasal surgery (open rhinoplasty and open technique septoplasty) were performed on 93 patients between November 2009 and July 2012. The inverted-V incision was used on 31 patients (24 males, 7 females). The “W” incision was used on 62 patients (40 males, 22 females). The entire surgical procedure was performed by a single surgeon. The columellar incision was closed using 6–0 interrupted polypropylene sutures. All sutures were removed on the seventh postoperative day. Scars were assessed at 6 moths, with 3 items scar assessment scale, we observed satisfactory scar, pigmentation, and notching. We compared both groups and found that the scar pigmentation, notching and scar formation are similar to each other. As a result of this study we concluded that the inverted-V incision or “W” incision might be a similar choice in open nasal surgery.
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References
Sheen JH (1997) Closed versus open rhinoplasty—and the debate goes on. Plast Reconstr Surg 99(3):859–862
Celik M (2003) Running W incision in open rhinoplasty: better scar quality. Aesthetic Plast Surg 27:388–389
Daniel RK (1993) Open rhinoplasty: operative techniques. In: Daniel RK (ed) Rhinoplasty. Little Brown, Boston, pp 481–499
Gunter JP (1997) The merits of the open approach in rhinoplasty. Plast Reconstr Surg 99(3):863
Goodman WS (1973) External approach to rhinoplasty. Can J Otolaryngol 2:207–210
Vogt T (1983) Tip rhinoplastic operations using a transverse columellar incision. Aesthetic Plast Surg 7:13–19
Vercelli S, Ferriero G, Sartorio F, Stissi V, Franchignoni F (2009) How to assess postsurgical scars: a review of outcome measures. Disabil Rehabil 31(25):2055–2063
Baryza MJ, Baryza GA (1995) The vancouver scar scale: an administration tool and its interrater reliability. J Burn Care Rehabil 16(5):535–538
Beausang E, Floyd H, Dunn KW, Orton CI, Ferguson MW (1998) A new quantitative scale for clinical scar assessment. Plast Reconstr Surg 102(6):1954–1961
Verim A, Duymus R, Calim OF, Karaca CT, Ozkul MH, Yasar H, Bahadir E, Bakal N (2013) Effect of nose skin on the columellar incision scar in a Turkish population. Otolaryngol Head Neck Surg 149(3):438–444
Bafaqeeh SA, Al-Qattan MM (1998) Open rhinoplasty: columellar scar analysis in an Arabian population. Plast Reconstr Surg 102(4):1226–1228
Adamson PA (1987) Open rhinoplasty. Otolaryngol Clin North Am 20:837–852
Adamson PA, Smith O, Tropper GJ (1990) Incision and scar analysis in open (external) rhinoplasty. Arch Otolaryngol Head Neck Surg 116:671–675
Aksu I, Alim H, Tellioglu AT (2008) Comparative columellar scar analysis between transverse and Inverted-V incision in open rhinoplasty. Aesthet Plast Surg 32(4):638–640
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Ihvan, O., Seneldir, L., Naiboglu, B. et al. Comparative Columellar Scar Analysis Between W Incisions and Inverted-V Incision in Open Technique Nasal Surgery. Indian J Otolaryngol Head Neck Surg 70, 231–234 (2018). https://doi.org/10.1007/s12070-017-1096-3
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DOI: https://doi.org/10.1007/s12070-017-1096-3