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External vs. internal osteotomy in rhinoplasty

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Abstract

Background

The aim of study is to compare the external osteotomy vs. internal osteotomy in patients undergoing rhinoplasty.

Methods

The study group comprised of 45 patients that had undergone rhinoplasty surgery. The 25 patients had undergone internal / endonasal continuous lateral osteotomy and 20 patients had undergone external / percutaneous perforating digital osteotomy. The internal osteotomy was done high to low to high using 4 mm. curved guarded osteotome. The external osteotomy was done by 2 mm sharp osteotome. The scoring system of Kara and Gokalan was followed for edema and ecchymosis.

Conclusion

External osteotomy is an easy approach to carryout and makes fracture with high precision along preset lines. The bone stump is stable. The damage to the nasal mucosa is much less. There is reduced bleeding, reduced edema and reduced ecchymosis around eyes. The cutaneous scar at the entry site of osteotome is invisible.

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Authors and Affiliations

  1. Department of Otorhinolaryngology and Head and Neck Surgery, B.J.Medical College (Civil Hospital), Ahmedabad, (Gujarat), India, 380016

    Vikas Sinha (Professor and Head), Devang Gupta (Assistant Professor), Yogesh More (Resident), Bela Prajapati (Assistant Professor), B. K. Kedia (Assistant Professor) & Shashank Nath Singh (Resident)

Authors
  1. Vikas Sinha
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  2. Devang Gupta
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  3. Yogesh More
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  4. Bela Prajapati
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  5. B. K. Kedia
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  6. Shashank Nath Singh
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Corresponding author

Correspondence to Vikas Sinha.

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Sinha, V., Gupta, D., More, Y. et al. External vs. internal osteotomy in rhinoplasty. Indian J Otolaryngol Head Neck Surg 59, 9–12 (2007). https://doi.org/10.1007/s12070-007-0002-9

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  • DOI: https://doi.org/10.1007/s12070-007-0002-9

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