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Osteotomies in rhinoplasty surgery

Wayne, Ivan

Current Opinion in Otolaryngology & Head and Neck Surgery: August 2013 - Volume 21 - Issue 4 - p 379–383
doi: 10.1097/MOO.0b013e3283631e85
FACIAL PLASTIC SURGERY: Edited by Julian M. Rowe-Jones and Travis Tollefson

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.

Department of Otolaryngology, University of Oklahoma, Nichols Hills, Oklahoma, USA

Correspondence to Ivan Wayne, 6513 Avondale Drive, Nichols Hills, OK 73116, USA. Tel: +1 405 650 5035; e-mail:

© 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins