Vestnik otorinolaringologii · 2026
[Technique for minimally invasive instrumental correction of post-traumatic external nasal deformity using a novel tool (suction-integrated chisel)].
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Rynkov D A, Kryukov A I
Аннотация
OBJECTIVE: To develop and test an instrument for performing osteotomy and a technique for minimally invasive endoscopic instrumental correction of the external nose.
MATERIAL AND METHODS: A curved chisel with integrated suction was developed for minimally invasive endoscopic osteotomy. In a prospective study, 43 patients with PTND underwent surgery. Evaluated parameters included: operation duration, edema/hematoma dynamics (VAS), and restoration of nasal breathing (3 weeks, 3 months, 1 year postoperatively).
RESULTS: Median operation duration was 29.0 (Q1-Q3: 27.5-45.5) min. The intensity of postoperative edema and hematomas on the VAS significantly decreased from 5.0 to 2.0 points between days 5 and 14 (p<0.001). Normal nasal breathing was recorded in 86% of patients 1 year post-surgery (versus 86% with severe impairment preoperatively; p<0.001). 90.7% of patients reported satisfaction with outcomes one year after surgery.
CONCLUSION: The developed instrument (suction-integrated chisel) and surgical technique ensure short operation time, minimization of postoperative complications, and sustainable functional-aesthetic restoration.
MATERIAL AND METHODS: A curved chisel with integrated suction was developed for minimally invasive endoscopic osteotomy. In a prospective study, 43 patients with PTND underwent surgery. Evaluated parameters included: operation duration, edema/hematoma dynamics (VAS), and restoration of nasal breathing (3 weeks, 3 months, 1 year postoperatively).
RESULTS: Median operation duration was 29.0 (Q1-Q3: 27.5-45.5) min. The intensity of postoperative edema and hematomas on the VAS significantly decreased from 5.0 to 2.0 points between days 5 and 14 (p<0.001). Normal nasal breathing was recorded in 86% of patients 1 year post-surgery (versus 86% with severe impairment preoperatively; p<0.001). 90.7% of patients reported satisfaction with outcomes one year after surgery.
CONCLUSION: The developed instrument (suction-integrated chisel) and surgical technique ensure short operation time, minimization of postoperative complications, and sustainable functional-aesthetic restoration.