인하대학교 의과대학 성남인하병원 이비인후과 1, 서울대학교 의과대학 이비인후과학교실 2
윤정선 1·정동학 1·민양기 2

Rhinoplasty through the External Approach

Jung Sun Yoon, MD 1, Dong Hak Jung, MD 1 and Yang-Gi Min, MD 2
1Department of Otorhinolaryngology-Head and Neck Surgery, InHa University, College of Medicine, Sungnam, 2Department of Otorhinolayngology, College of Medicine, Seoul National University, Seoul, Korea

ABSTRACT

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Background： Rhinoplasty surgeons have a choice of several approaches to the nose. The approaches can conveniently be divided into external and intranasal techniques. We prefer the external approach to the intranasal approach because the former provides better operative fields and more complete correction.Objectives： The purpose of this report is to analyze the experiences of rhinoplasty through the external approach.Materials and Methods： A retrospective study was performed in 119 patients who underwent rhinoplasty using the external approach from January of 1994 through March of 1997.Results： This procedure has been used in all kinds of deformities even though most of them overlapped：54 cases of crooked nose, 57 cases of saddle nose, 5 cases of hump nose and 3 cases of tip surgery.Conclusion：The exact procedures of cosmetic nasal tip surgery can be performed more easily by the external approach. The disadventages of this procedure, which is the columellar scar, longer operation time and post-operative edema, are neglible. (Korean J Otolaryngol 1997;40:1091-6)

KEY WORDS：Rhinoplasty·External approach.