Abstract
Objective: Evaluate the use of the operating microscope during open structure rhinoplasty for achievement of preoperative goals precisely and accurately.
Method: A retrospective study was conducted on 82 patients with nasal aesthetic deformities and functional deviations for whom open rhinoplasty was done in tertiary care center. The operative microscope was used throughout operative steps. Results were checked against patients’ expectations and satisfaction and against conformance to aesthetic measures and functional parameters.
Results: A total of 91.4% of the surgeries met patients’ expectations while 93.3% fulfilled patients’ satisfaction. A total of 85.4% of cases conformed to aesthetic nasal measures while 92.7% to functional clinical parameters.
Conclusion: The use of the operative microscope afforded a better illumination especially in the depth, stereoscopic vision, and magnification that allowed accurate dissection and better preservation. It is user friendly, superb in photo documentation, and unpreceded in training courses as it offers to trainees an image identical to what the surgeon sees.
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