Summary: There remains considerable debate over the optimal method and approach to performing lateral osteotomies. Current methods rely on mechanical energy for performance of osteotomies, which can lead to soft-tissue injury and/or disruption of the bony or cartilaginous framework. The authors report the novel use of an ultrasonic bone aspirator device for performance of lateral osteotomies in rhinoplasty. The authors have found this technology to be safe and effective in a series of five consecutive patients. The main benefits of the device include avoidance of soft-tissue/mucosal injury, minimal bleeding/bruising, and the ability to avoid mechanical force to create bony cuts, which can destabilize the bony and/or cartilaginous construct of the nose. Being able to minimize tissue trauma with its associated morbidity while maintaining efficacy makes the ultrasonic bone aspirator an attractive option for lateral osteotomies in rhinoplasty that warrants further investigation.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.