Effect of Conventional Versus Microsaw Osteotomy Techniques on Postoperative Patient Comfort in Septorhinoplasty
Balkan ORL-HNS, sa.1, ss.1-7, 2026 (TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: Sayı: 1
- Basım Tarihi: 2026
- Doi Numarası: 10.5152/bohns.2026.25144
- Dergi Adı: Balkan ORL-HNS
- Derginin Tarandığı İndeksler: TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.1-7
- İstanbul Gelişim Üniversitesi Adresli: Evet
Özet
Background: Septorhinoplasty often causes early periorbital edema, ecchymosis, and pain that may impair patient comfort. This study compared conventional and powered microsaw osteotomy techniques in terms of early postoperative morbidity and patient satisfaction. Methods: In this prospective randomized single-center study, 60 patients undergoing open septorhinoplasty were allocated to conventional osteotomy (n = 30) or micr osaw osteotomy (n = 30). Apart from the osteotomy instrument, all operative steps and post - operative care were standardized. Edema and ecchymosis were graded on postoperative days 3 and 7 by 2 blinded surgeons. Pain was recorded using a visual analog scale on postoperative days 1, 3, and 7, and patient satisfaction was rated on day 7. Results: The groups were similar in age and sex (P >.05). No significant between-group differences were found in edema or ecchymosis on postoperative days 3 or 7 (all P >.05), although both parameters improved significantly within each group over time. Pain scores decreased significantly from postoperative day 1 to day 7 in both groups, with no signifi- cant between-group differences at any time point (day 1, P = .547; day 3, P = .212; day 7, P = .497). Day-7 satisfaction scores were also similar (5.06 ± 1.74 vs 5.33 ± 1.62; P =.542). Conclusion: Powered microsaw osteotomy did not improve early postoperative patient comfort compared with conventional osteotomy. Meticulous surgical technique may be more important than instrument choice in limiting early morbidity after septorhinoplasty.