Application of Lateral Osteotomy in Nasal Bone Fracture

Lim, Kwang Ryeol; Song, Jinzhao; Hwang, So Min; Jung, Yong Hui; Cho, Ka Hyung

doi:10.7181/acfs.2012.13.2.104

Cited by 1 publication

(3 citation statements)

References 15 publications

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“…When a unilateral nasal fracture occurred, using the fracture line of an impacted side, we performed unilateral osteotomy on the contralateral side only to ensure symmetry of the nasal bone. This was based on our experience where osteotomy and wedge resection produced satisfactory outcomes, as well as on previous studies that showed effective correction of nasal deformity in patients with an acute nasal bone fracture through unilateral osteotomy of the unimpacted side 20,29…”

Section: Discussionmentioning

confidence: 92%

“…It is challenging to correct pre-existing deformities, such as a deviated nose, both functionally and esthetically. [26][27][28][29] Considering the bony instability in the nasal bone fracture, a minimally invasive surgical technique was selected. We have previously suggested a unilateral osteotomy technique on the unimpacted side.…”

Section: Discussionmentioning

confidence: 99%

“…This was based on our experience where osteotomy and wedge resection produced satisfactory outcomes, as well as on previous studies that showed effective correction of nasal deformity in patients with an acute nasal bone fracture through unilateral osteotomy of the unimpacted side. 20,29 We used dermofat, not alloplastic implant, in all maneuvers to mask dorsal contour irregularity caused by fracture and osteotomies. In the case of acute facial trauma, the risk of infection from the skin, mucosa, and skeletal damage is high.…”

Section: Discussionmentioning

confidence: 99%

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Cosmetic Open Rhinoplasty in Acute Nasal Bone Fracture With Pre-Existing Deformity

Kim

Lee

Kim

et al. 2023

Journal of Craniofacial Surgery

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The simultaneous reduction of nasal bone fracture and cosmetic rhinoplasty is a challenging procedure, because of fracture severity and skeletal instability. Our aim was to investigate the surgical strategy and outcomes of cosmetic rhinoplasty according to the pre-existing nasal deformity when performing simultaneous reduction of nasal bone fracture and cosmetic rhinoplasty. In total, 71 patients who underwent cosmetic rhinoplasty were included. All patients were categorized according to pre-existing deformity, dorsal hump and irregularities, and deviation of the nose, wide nose, and flat nasal dorsum. The authors performed individual maneuvers to correct each deformity. Autologous tissue was used in all maneuvers for graft. Photoanalysis was performed to measure the deviation, nasal length, radix height, dorsal height, tip projection, nasofrontal angle, and nasolabial angle. Subjective evaluation of the functional and esthetic problems was confirmed through rhinoplasty outcome evaluation. In the analysis of the photographs, most patients presented improved scores (P<0.05). The scores of satisfaction were significantly higher in the postoperative state (P<0.05). As a postoperative complication, 2 cases of deviated tip occurred due to septal instability and were successfully revised with septoplasty and columellar strut graft. The authors created a harmonious face by evaluating, categorizing, and treating each deformity of the nose in patients with nasal fractures according to our algorithm.

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Section: Discussionmentioning

confidence: 92%