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Osteotomy, Ostectomy, and Dorsal Reconstruction

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Aesthetic Septorhinoplasty
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Abstract

Dorsal height is one of the main targets aimed to be corrected with rhinoplasty. It can be corrected with dorsal resection or dorsal preservation. This chapter is about osteotomies, ostectomies, and dorsal reconstruction after dorsal resection. An open roof is formed after dorsal resection. Depending on the extent of the open roof, additional osteotomies may be necessary to be able to close the roof. The open roof will then be closed with lateral and medial oblique osteotomies. Ostectomy is indispensable when the bones are thick and their medial displacement after osteotomy without ostectomy will lead to narrowing of the airway. After closing the bony roof, the cartilaginous roof needs to be closed with various techniques so that pleasing dorsal aesthetic lines are obtained. At the end of dorsal reconstruction, remaining unavoidable irregularities may be corrected with bone dust.

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References

  1. Çakır B, Finocchi V, Tambasco D, Öreroğlu AR, Doğan T (2016) Osteoectomy in rhinoplasty: a new concept in nasal bones repositioning. Ann Plast Surg 76(6):622–628

    Article  Google Scholar 

  2. Turgut G, Soydan AT, Baş L (2010) A new technique for creating spreader and septal extension grafts. Plast Reconstr Surg 126(5):252–254

    Article  Google Scholar 

  3. Gryskiewicz JM (2005) Visible scars from percutaneous osteotomies. Plast Reconstr Surg 116(6):1771–1775

    Article  CAS  PubMed  Google Scholar 

  4. Orak F, Baghaki S (2013) Use of osseocartilaginous paste graft for refinement of the nasal dorsum in rhinoplasty. Aesthetic Plast Surg 37(5):876–878

    Article  CAS  PubMed  Google Scholar 

  5. Öreroğlu AR, Çakır B, Akan M (2014) Bone dust and diced cartilage combined with blood glue: a practical technique for dorsum enhancement. Aesthetic Plast Surg 38(1):90–94

    Article  PubMed  Google Scholar 

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Çakır, B. (2021). Osteotomy, Ostectomy, and Dorsal Reconstruction. In: Aesthetic Septorhinoplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-81861-6_11

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  • DOI: https://doi.org/10.1007/978-3-030-81861-6_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81860-9

  • Online ISBN: 978-3-030-81861-6

  • eBook Packages: MedicineMedicine (R0)

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