Double Lateral Osteotomy in Rhinoplasty

Parkes, Morey L.; Kamer, Frank M.; Morgan, William R.

doi:10.1001/archotol.1977.00780230066010

Cited by 54 publications

(24 citation statements)

References 1 publication

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“…The method should be safe, precise, reproducible and do not cause irregularities of the lateral nasal wall [1,2]. …”

Section: Discussionmentioning

confidence: 99%

“…Depending on the type of nasal deformities, lateral, medial, or transverse osteotomies may be indicated to improve the appearance of the nose [1,2]. The lateral nasal osteotomy is a key step in rhinoplasties and may be associated with complications, which include excessive hemorrhage, prolonged edema, ecchymosis, functional nasal obstruction from excessive narrowing, post rhinoplasty aesthetic deformity and asymmetric irregularity of the nasal wall [3].…”

Section: Introductionmentioning

confidence: 99%

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Lateral nasal osteotomy: a comparative study between the use of osteotome and a diamond surgical burr - a cadaver study

et al. 2013

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BackgroundThe ultimate goal of rhinoplasty is to achieve a controllable, reliable and an aesthetically pleasing result. Various approaches and instruments have been introduced for the correction of the bony walls of the nose to improve predictability of the procedure and to minimize the associated trauma. We conducted a cadaveric study comparing the results of osteotomy of the nasal wall using a diamond surgical burr with those using a 2-mm osteotome.Material and methodsBilateral osteotomy of the nasal wall was performed on 10 cadavers. The 20 lateral nasal osteotomies were carried out on 7 females and 3 males of an age range between 61-91 years. A 2-mm osteotome was used percutaneously to perforate the lateral nasal wall of the right side. On the left side a 2-mm diamond surgical burr was introduced via an intraoral approach to thin out the lateral nasal wall. The in-fracture of the nasal bone was accomplished by controlled finger pressure. The nasal mucosa was inspected endoscopically and also dissected to identify any perforations or lacerations. The pattern of nasal fracture and the presence of any fragmentation of the bony segments were assessed clinically.ResultsThe in-fracturing of the nasal bone was accomplished by gentle pressure on the left side, but required more force on the contra lateral side. On the left side the in-fractured lateral nasal wall remained as one piece and no irregularities were seen. On the right side 3-5 bony fragments of irregular sizes and shapes were detected. There were 3-4 tears of the nasal mucosa, where the osteotome was applied. However, no mucosal tears were detected at the side, where the surgical burr was used.ConclusionOsteotomy of the lateral nasal wall with a diamond burr via intraoral approach is more precise and associated with fewer complications in comparison with the use of the osteotome.

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“…The method should be safe, precise, reproducible and do not cause irregularities of the lateral nasal wall [1,2]. …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lateral nasal osteotomy: a comparative study between the use of osteotome and a diamond surgical burr - a cadaver study

et al. 2013

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“…14,15 The intermediate osteotomy is made parallel to the lateral osteotomy somewhere along the midportion of the nasal sidewall (Fig. 35.12).…”

Section: The Intermediate Osteotomymentioning

confidence: 99%

35 Management of the Bony Nasal Vault

Papel¹,

Frodel²,

Holt³

et al. 2016

Facial Plastic and Reconstructive Surgery

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“…In such severe deviations, paramedian or double osteotomies can be very helpful for creating comminution and appropriate reapproximation and positioning. 25 This technique will produce narrowing and symmetry (Fig. 5).…”

Section: Osteotomiesmentioning

confidence: 99%

Nasal Trauma and the Deviated Nose

Higuera

Lee

Cole

et al. 2007

Plastic and Reconstructive Surgery

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As the most prominent facial feature, the nose carries an increased risk of traumatic injury. Nasal fracture is the most common bone injury of the adult face and frequently results from motor vehicle accidents, sports-related injuries, and altercations. Although often initially considered minor, nasal fracture may eventually result in significant cosmetic or functional defects. Optimal management of nasal trauma in the acute setting is critical in minimizing secondary nasal deformities. In recent years, numerous guidelines have been described to refine and optimize acute nasal trauma management. However, restoration of pretraumatic form and function remains a challenge. Commonly the product of a poorly addressed underlying structural injury, posttraumatic nasal deformity requiring subsequent rhinoplasty or septorhinoplasty remains in as many as 50 percent of cases. In this article, the authors review the anatomic, diagnostic, and management considerations as well as discuss their own experience in approaching nasal trauma and the deviated nose.

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Double Lateral Osteotomy in Rhinoplasty

Cited by 54 publications

References 1 publication

Lateral nasal osteotomy: a comparative study between the use of osteotome and a diamond surgical burr - a cadaver study

Lateral nasal osteotomy: a comparative study between the use of osteotome and a diamond surgical burr - a cadaver study

35 Management of the Bony Nasal Vault

Nasal Trauma and the Deviated Nose

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