Ramírez OFJ, Bañuelos AAC

Language: Spanish
References: 18
Page: 8-13
PDF size: 370.32 Kb.

ABSTRACT

BACKGROUND
Nasal base surgery requires the resection of a vestibular skin wedge of the wing-cheek union. It constitutes an external stage of rhinoplasty that will leave a scar, which in most of the cases is discreet; nevertheless, sometimes it produces deformed scars. The advancement of technology has lead to the introduction of radiosurgery in the field of facial surgery, with encouraging results.

OBJECTIVE
To compare the cosmetic results obtained with radiofrequency versus conventional bistoury in the surgery of Weir.

PATIENTS AND METHOD
In a quasiexperimental study we included 75 candidates for rhinoplasty that required Weir’s surgery. In each one of them we used both surgical procedures (radiofrequency and conventional bistoury), so the patient was its own control.

RESULTS
We evaluated 75 patients, from which 77% were female, with age average of 26 years old (SD 12). Radiofrequency shorten the surgical time and bleeding in comparison with the conventional bistoury (p ‹ 0.0005). 50% of the wounds made with bistoury required the positioning of extra stitches for controlling the bleeding. The scar produced by radiofrequency reached a good mating of color with one of the opposite sides at four weeks in 45% of the cases and with the surrounding skin at five months in the 100% of the cases. The healing of the wounds made with radiofrequency was slower (p ‹ 0.001). 81 and 77% of the wounds made with bistoury and radiofrequency, respectively, (p › 0.05) healed in a satisfactory form.

CONCLUSIONS
The healing produced with both techniques did not show significant difference; nevertheless, the advantages when using radiofrequency make of this latter better option in those candidates for the correction of a wide nasal base.

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