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Objective: Rhinoplasty enhances facial harmony and the proportions of the nose. The ultimate goal of our research is to see
the variation between two techniques of lateral osteotomies: low-to-low and low-to-high to weight out the advantages and
disadvantages together with the patient fulfillment.
Methods: It?s a retrospective cohort study containing 104 patients, all above 18 year old that had undergone rhinoplasty surgery
with two different technique of lateral osteotomy. 70 patients where low-to-low along with 34 patients were low-to-high. All
104 patients had some sort of nasal deformity. Our research compared the ventral width, patient satisfaction in breathing as
well as aesthetic pre and post-operatively.
Results: As the statistical analysis showed the aesthetic calculations showed a significant variation in the results either from the
patient satisfaction or the ventral width measurement with a P<.0001. 95.7% of the low-to-low group reached an ideal ventral
width according to the Arabic nose values in contrast to the low-to-high group showed only 52.9%. Unlike the breathing result
were unremarkable postoperatively P<.78.
Conclusion: The aesthetic view of low-to-low group results showed a statistical significant difference almost reached the ideal
measurements P<.0001. In the other hand Patient satisfaction in breathing and Quality of life improved in both groups equally.
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