A Novel Technique for Correction of Crooked Nose Deformity: Combination of Asymmetric Let-Down and Mobile Bony Cap (Meysem Yorgun Technique) Rhinoplasty

Author:

Yorgun Meysem1,Çekiç Erdinç2

Affiliation:

1. Private Clinic

2. Haseki Eğitim ve Araştırma Hastanesi

Abstract

Abstract

Objective This study aimed to evaluate the efficacy and aesthetic outcomes of a novel rhinoplasty technique, the M.Y. Technique, which combines asymmetric let-down and a mobile bony cap for the correction of crooked nose deformities. Materials and Methods This retrospective analysis included 18 patients who underwent M.Y. Technique rhinoplasty for C-shaped or reverse C-shaped crooked nose between February 2021 and May 2022. Surgical procedures were performed by a single experienced surgeon using a closed approach incorporating endotracheal intubation, local anesthesia, and the dorsal preservation technique. Osteotomies were precisely planned and executed to correct nasal asymmetries, with outcomes evaluated using GeoGebra software based on restoration of the deviation angle to the ideal 180 °. Results In this study of 18 patients undergoing rhinoplasty for C-or reverse C-type deformities, significant improvement was observed in deviation angles post-surgery. The preoperative mean deviation angle was 144.8 ± 4.09°, improving to 178.89 ± 2.19° postoperatively, with 14 out of 18 patients achieving an ideal angle of 180°. The change in deviation angle was statistically significant (p < 0.001), indicating substantial aesthetic and functional enhancements. Surgical success was rated excellent in 14 patients and good in four, with all patients reporting high satisfaction and no postoperative complications. Conclusion The M.Y. Technique, which utilizes closed-approach dorsal preservation rhinoplasty, has proven highly effective in correcting C and reverse C-type nasal deformities. This study confirmed that the technique substantially improves nasal symmetry and achieves near-ideal anatomical results in most patients, with high levels of patient satisfaction and no reported postoperative complications.

Publisher

Springer Science and Business Media LLC

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