Skip Navigation LinksHome > August 2013 - Volume 21 - Issue 4 > Osteotomies in rhinoplasty surgery
Current Opinion in Otolaryngology & Head & Neck Surgery:
doi: 10.1097/MOO.0b013e3283631e85
FACIAL PLASTIC SURGERY: Edited by Julian M. Rowe-Jones and Travis Tollefson

Osteotomies in rhinoplasty surgery

Wayne, Ivan

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Abstract

Purpose of review: To review the current literature on nasal osteotomies with an emphasis on new techniques as well as evaluations of existing procedures.

Recent findings: Powered instrumentation has seen greater use and is felt to offer an improvement by some over more traditional methods. The enbloc osteotomy may be an alternative procedure to straighten a deviated bony dorsum that does not require hump reduction. Osteotomy sequence can have a significant effect on final outcomes. Comparisons of continuous vs. perforating osteotomy shows only a difference in ecchymosis and edema rather than effectiveness.

Summary: 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.

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins

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