Comparison between Percutaneous Lateral Osteotomy and Endonasal Lateral Osteotomy in Primary Rhinoplasty

Introduction: Open rhinoplasty is a popular method to correct nasal deformities, which is commonly carried out by percutaneous or endonasal techniques. Despite their advantages, these two techniques can also be associated with some disadvantages. The present study was carried out in order to examine the functional and aesthetic outcomes of percutaneous and endonasal osteotomies. Material and Methods: The present comparative study was carried out on 50 patients who underwent percutaneous osteotomy (25 cases) and endonasal osteotomy (25 cases) from August 2018 to September 2019. Before and three days, eight days, and three months after the surgeries, the required data were collected through medical and psychological assessments. Results: According to the results, the mean age of the patients was 28.7±6.5 years, and most of them were females with a female-to-male ratio of 4:1. It was also concluded that percutaneous and endonasal lateral osteotomies were not significantly different in terms of the postsurgical pain felt by the patients, epistaxis, skin scars 21 days and three months after the rhinoplasty, nasal obstruction, closing the open roof deformity, state of correction, patient satisfaction, age, and gender (p>0.05). However, they were significantly different regarding periorbital edema, periorbital ecchymosis, and skin scars during the first eight days after the surgery (p<0.05). Conclusion: Both percutaneous and endonasal lateral osteotomies were found to be useful methods to carry out rhinoplasty because both led to acceptable functional and aesthetic results regarding decreased pain, epistaxis, periorbital edema and ecchymosis, skin scar, nasal obstruction, closing the open roof deformity, and nasal deviation correction and increased patient satisfaction.