Rethinking Nasal Osteotomies: An Anatomic Approach

Objectives: To review our experience with our anatomic (medial, transverse, and lateral) nasal osteotomy technique for correcting the asymmetric bony nasal vault in esthetic and functional rhinoplasty. Methods: All patients undergoing anatomic nasal osteotomy technique by the senior author (y.d.) fr...

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Bibliographic Details
Published in:The Laryngoscope 2007-04, Vol.117 (4), p.662-667
Main Authors: Cochran, C Spencer, Ducic, Yadranko, DeFatta, Robert J.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Female
Follow-Up Studies
Humans
Male
Medical sciences
Middle Aged
Nasal Septum - abnormalities
Nasal Septum - surgery
Nose - anatomy & histology
Nose - surgery
Osteotomy - methods
Otorhinolaryngology. Stomatology
Retrospective Studies
Rhinoplasty - methods
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Summary:Objectives: To review our experience with our anatomic (medial, transverse, and lateral) nasal osteotomy technique for correcting the asymmetric bony nasal vault in esthetic and functional rhinoplasty. Methods: All patients undergoing anatomic nasal osteotomy technique by the senior author (y.d.) from August 1997 to August 2005 with a minimum follow‐up of 6 months were reviewed. Preoperative and postoperative photographs and clinical examination were analyzed to determine restoration of a symmetric bony nasal vault configuration. Results: A total of 322 patients met the inclusion criteria. Percent of patients who had favorable results with restoration of a symmetric bony nasal vault configuration was 98.1%. Six (1.9%) patients required revision surgery at the level of the nasal bones with repeat osteotomies or dorsal rasping. All six of these patients had favorable outcomes after revision surgery. Conclusions: The anatomic nasal osteotomy technique represents an effective, simple, and logical approach for correcting asymmetric bony nasal vault.
ISSN:0023-852X
1531-4995
DOI:10.1097/MLG.0b013e318030e3ff