This study is designed to compare two common techniques for reducing the nasal hump during rhinoplasty: the traditional method using osteotomes and rasps, and a newer technique called hybrid osteoplasty that uses a surgical drill. Both approaches aim to improve the appearance and function of the nose. The trial will measure pain, swelling, bruising, and the smoothness of the nasal bridge, as well as patient satisfaction and breathing outcomes. Participants will be followed for one year to assess both early healing and long-term results.
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Mean Change in Rhinoplasty Outcome Evaluation (ROE) Score from Baseline to 12 Months
Timeframe: Baseline (preoperative) and 12 months post-operation.
Mean Dorsal Contour Irregularity Score on Blinded Photographic Assessment at 12 Months
Timeframe: 12 months post-operation.
Mean Periorbital Edema Score on 4-Point Clinician Scale at Day 1 and Day 7
Timeframe: Post-op Day 1 and Day 7.
Mean Periorbital Ecchymosis Score on 4-Point Clinician Scale at Day 1 and Day 7
Timeframe: Post-op Day 1 and Day 7.
Proportion of Participants with Residual Hump or Dorsal Depression on Blinded Photographic Assessment at 12 Months
Timeframe: 12 months post-operation
Proportion of Participants with Nasal Dorsum Width Symmetry at 12 Months
Timeframe: 12 months post-operation
Number of Participants Requiring Unplanned Revision Surgery within 12 Months
Timeframe: Within 12 months post-operation