30 Rhinoplasty Experiences in a Tertiary Care Center of Nepal Experiências de Rinoplastia em um Centro de Saúde Terciário do Nepal Narmaya Thapa*, Bibhu Pradhan*, Prakash Adhikari**. * Dr. Associate Professor, Department of ENT and Head and Neck Surgery, TU Teaching Hospital, Kathmandu, Nepal. ** Dr. MS Resident, Department of ENT and Head and Neck Surgery, TU Teaching Hospital, Kathmandu, Nepal. Institution: Department of ENT and Head and Neck Surgery, TU Teaching Hospital. Kathmandu, Nepal. Mail address: Dr. Narmaya Thapa, Associate Professor, Department of ENT and Head and Neck Surgery, TU Teaching Hospital, Kathmandu, Nepal. Article received in December 27, 2008. Article approved in February 25, 2009. RESUMO Objetivo: Este estudo foi realizado para observar as causas e tipos de deformidade nasal externa, tipos de procedimentos cirúrgicos e para determinar a satisfação do paciente após a cirurgia. Método: O estudo é prospectivo longitudinal feito no Departamento de ORL e cirurgia de Cabeça e Pescoço, Hospital Universitário de TU, Kathmandu. Inclui 89 pacientes submetidos a diferentes tipos de pro- cedimentos rinoplásticos com e sem cirurgia do septo nasal, entre abril de 2004 e julho de 2008. Indivíduos menores de 16 anos foram excluídos. Foi realizada análise estatística usando frequência e porcentagem. Resultados: As causas de deformidades externas incluem: de desenvolvimento em 50 pacientes, traumáticas em 35 pacientes, pós-operatórias e infecciosas em 2 pacientes cada uma. Quarenta e um pacientes tinham a deformidade de nariz torto, 27 tinham nariz arqueado e 8 pacientes tinham nariz em sela. Setenta pacientes tinham septo nasal desviado. Cerca de 80% dos pacientes estavam totalmente satisfeitos. Conclusão: A causa de desenvolvimento seguida de traumatismo foi a causa mais comum de deformidade nasal externa, ao passo que o nariz torto era o tipo mais comum de deformidade nasal. A septoplastia com rinoplastia corretiva foram feitas em cerca de metade dos pacientes. A maioria dos pacientes estavam satisfeitos com os procedimentos cirúrgicos. Palavras-chave: Deformidade nasal, rinoplastia, materiais de enxerto, satisfação do paciente. S UMMARY Objective: This study was carried out to observe the causes and types of external nasal deformity, types of surgical procedures and to determine the patient’s satisfaction following surgery. Method: This is a prospective longitudinal study done in the Department of ENT and Head and Neck surgery, TU Teaching Hospital, Kathmandu. There were 89 patients who underwent different types of rhinoplastic procedures with or without septal surgery between April 2004 and July 2008. Ages less than 16 years were excluded. Statistical analysis was done using frequency and percentage. Results: Cause of external deformity includes developmental in 50 patients, traumatic in 35 patients, postoperative and infective in 2 patients each. Fourty one patients had crooked nose, 27 patients had hump and 8 patients had saddle nose deformity. Seventy patients had associated deviated nasal septum. Around 79.6% patients were satisfied fully. Conclusion: Developmental cause followed by trauma were the most common cause of external nasal deformity while crooked nose was the most common type of nasal deformity. Septoplasty with corrective rhinoplasty were done in around half of the patients. Majority of the patients were satisfied with the surgical procedures. Keyword: nasal deformity, rhinoplasty, graft materials, patient’s satisfaction. Arq. Int. Otorrinolaringol. / Intl. Arch. Otorhinolaryngol., São Paulo, v.13, n.1, p. 30-33, 2009. Artigo Original