جراحة قاعدة الأنف و علاقتها بتبارز ذروة الأنف

الملخص EN

Background & Objective: It is important to study the changes that occur on the anatomical structures of nasal tip at the change on any its anatomical components because of its anatomical complicity.

This study aims to define the relation between all surgical procedures in order to modify the form & size of nasal base (nasal orifices) and occurring changes on nasal tip projection.

Methods & Materials: This study has achieved progressively on 32 patient contrasting by years 2006 & 2010 in Mwasat hospital, the patients were divided into three groups according to type of surgical technique on nasal base, and it was measured the good' s method rate in each group before the operation and after 6 months of operation , then compared between them and statistical tests were done to study the changes on nose apex in each group of previous groups .

Result: In the first group, it was removed stripe from both nasal alas only without any procedure on nasal sill (22/32 patients) ,it was found decrease in good' s method rate value in 54.5 % of cases so decrease in nasal tip projection ,while there was increase in good' s method rate value, and the change was significant ( P=0.041) in other cases.

In the second group, it was removed stripe from both nasal alas with procedure on nose sill (8/32 patients) and found increase in good' s method rate value in 62.5% and decrease it in 12.5 % of cases , and the change was slight in other cases so we can't depend on these changes statistically .

In third group, it was removed stripe from nasal sill without any procedure on both nose alas (2/32 patients) and both cases there was increase in good's method rate value so increase in nasal base projection.

Conclusions: It is so important to evaluate nasal tip accurately in spite of the shape and size of nasal orifices to define the more beneficial procedure to modified nasal base