Osteotomies in rhinoplasty surgery

Wayne, Ivan

doi:10.1097/moo.0b013e3283631e85

Cited by 7 publications

(8 citation statements)

References 6 publications

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“…The technique directly applies force to the central segment of the bony dorsum that is not addressed by medial, intermediate, or lateral osteotomies. 7…”

Section: Discussionmentioning

confidence: 99%

“…6 Enbloc osteotomy was introduced for the deviated bony dorsum using a paramedial osteotomy with a Rubin osteotome. 7 Also, the extended osteocartilaginous spreader graft is introduced as an effective remedy for the correction of the deviated nose. 8 Although numerous surgical approaches have been documented in the literature, there is still no technique that can guarantee a successful outcome.…”

Section: Introductionmentioning

confidence: 99%

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Correction of Severe Deviated Nose by Intermediate Short Osteotomy

Abbasi

Dowlati

Seifrabiei

et al. 2019

wjps

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BACKGROUND The deviated nose is a common deformity encountered in rhinoplasty, and yet it is the most challenging pathology to treat, because multiple internal and external structures have deformity, so there is a need to be corrected. METHODES The intermediate short osteotomy has been applied as a technique to correct severe nasal bony deviations. Eleven patients with severe deviated nose who had been operated by the senior author from 2013 through 2016 were included in the study (follow-up period of 6-24 month). Intermediate short osteotomy was performed after medial and before lateral osteotomy. Surgical outcomes were assessed by another otolaryngologist based on review of pre- and post-operative (6 to 24 months after surgery) photographs. The post-operative outcome in terms of deviation correction was classified as excellent, good, fair, or no change. RESULTS Of all 11 cases, 6 (54.5%) were accepted as excellent, 4 (36.4%) as good, and 1 (9%) as no change. CONCLUSION Intermediate short osteotomy can be considered as a modification of intermediate osteotomy that eliminates nasal dorsal deviation more completely. This osteotomy is very simple and need only 1 to 2 minutes and use of this method is recommended for correction of severe deviated bony noses.

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“…The technique directly applies force to the central segment of the bony dorsum that is not addressed by medial, intermediate, or lateral osteotomies. 7…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Correction of Severe Deviated Nose by Intermediate Short Osteotomy

Abbasi

Dowlati

Seifrabiei

et al. 2019

wjps

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“…[7] The open-roof deformity may be encountered especially in patients treated with thin osteotomes. [4] The nasal splint contributes to the stability of the nasal walls for only about one week. However the in-fractured bones have to be stabilized for at least 2-3 months for optimal results.…”

Section: Discussionmentioning

confidence: 99%

“…With this type of osteotomy, more periosteal tearing and soft tissue trauma are encountered. [4] Although the rates of recurrence decrease with aggressive osteotomy, risks of overcorrection and collapse increase unwillingly.…”

mentioning

confidence: 99%

A novel method to prevent complications of nasal osteotomy: matress suture which traverses lateral walls and septum

Bali¹

2015

Kulak Burun Bogaz Ihtis Derg

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“…Rhinoplasty surgeons differ considerably on their choice of instrumentation, timing, and technique for osteotomies. [1][2][3][4][5][6] However, there is a general agreement that an ideal nasal osteotomy should deliver precise, predictable, and reproducible cosmetic and functional results while minimizing soft tissue trauma and postoperative complications. [7][8][9] Resection of the dorsal hump is among the most common presenting requests of rhinoplasty patients.…”

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confidence: 99%

Osteotomies—When, Why, and How?

2020

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An ideal nasal osteotomy should deliver precise, predictable, and reproducible cosmetic and functional results while minimizing soft-tissue trauma and postoperative complications. In addition to closing an open roof deformity after hump reduction, other common indications for osteotomies include the crooked nose and a wide bony vault. The literature has reported numerous and diverse osteotomy techniques as well as differences in timing of osteotomies. Each has its own merits and indications, and its proponents. In this article, we review the anatomy and nomenclature relating to osteotomies. We review the locations and paths of the osteotomies—lateral, intermediate, medial, and superior/transverse. We consider the percutaneous and endonasal approaches, as well as timing of osteotomies and other considerations. We also discuss technical considerations in the selection of instrumentation for osteotomies.

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Osteotomies in rhinoplasty surgery

Abstract: The often frustrating and inconsistent nasal osteotomy has been carefully scrutinized by many surgeons over the years. Evolutionary improvements have been developed that may reduce outcome variability and enhance reliability.

Cited by 7 publications

References 6 publications

Correction of Severe Deviated Nose by Intermediate Short Osteotomy

Correction of Severe Deviated Nose by Intermediate Short Osteotomy

A novel method to prevent complications of nasal osteotomy: matress suture which traverses lateral walls and septum

Osteotomies—When, Why, and How?

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