Comparisons of Auditory and Vestibular Functions After Septorhinoplasty Performed with the Micro-compass Saw Technique and the Classical Technique

• Published in: Aesthetic plastic surgery 2023-12, Vol.47 (6), p.2561-2572
• Main Authors: Bilal, Nagihan, Orhan, İsrafil, Turna, Kenan, Doğaner, Adem, Oruk, Vedat
• Format: Article
• Language: English
• Subjects: Female; Females; Humans; Male; Medicine; Medicine & Public Health; Nose; Original Articles; Osteotomy - adverse effects; Osteotomy - methods; Otorhinolaryngology; Physical Examination; Plastic Surgery; Rhinoplasty - adverse effects; Rhinoplasty - methods; Vestibular Evoked Myogenic Potentials
• ISSN: 0364-216X; 1432-5241; 1432-5241
• DOI: 10.1007/s00266-023-03610-w

Aim To evaluate hearing and labyrinth functions following different osteotomy types (micro-compass saw, osteotome, and no osteotomy) performed in septorhinoplasty operations. Material and Method The study included 74 patients operated between January 2020 and March 2022, separated into 3 groups: Group 1: 24 patients (16 females and 8 males): osteotome was used for the osteotomy; Group 2: 24 patients (12 females and 12 males): micro-saw was used for osteotomy; and Group 3: 26 patients (17 females and 9 males): open technique septoplasty with no osteotomy. At 1 day before and 1 week after the operation, all the patients underwent audiological examination, tympanometry, vestibular evoked myogenic potentials (c-VEMP), video head impulse test (v-HIT), videonystagmography (VNG), and distortion product otoacoustic emission (DPOAE) tests. Results In the c-VEMP tests, significant differences were determined between the groups in respect of N1, P1, and N1-P1 latencies and N1-P1 amplitudes before and after the operation. In the v-HIT test, the change in right-side posterior gain postoperatively was statistically significant in the micro-saw group ( p