Advertisement

Lateral Osteotomy in Rhinoplasty

  • Rauf Tahamiler
  • Murat Yener
Chapter

Abstract

The selection of technique and instrumentation in osteotomy is often the surgeon’s preference and experience but must also depend on some factors like predictable control, precision, reproducibility, and association with minimal potential for complications. To accomplish a successful osteotomy, the surgeon must be able to mobilize the bones and to ensure stability after the surgery. Mobilization can be adequate if the fracture is complete. This can be done either by osteotome or manually. The anatomy, patient evaluation, types of osteotomies, and possible complications are discussed.

Keywords

Nasal Bone Lateral Cartilage Nasal Dorsum Lateral Nasal Wall Frontal Process 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Dobratz EJ, Hilger PA (2010) Osteotomies. Clin Plast Surg 37(2):301–311PubMedCrossRefGoogle Scholar
  2. 2.
    Murakami CS, Younger RAL (1995) Managing the postrhinoplasty or post-traumatic crooked nose. Facial Plast Surg Clin North Am 3:421Google Scholar
  3. 3.
    Rohrich RJ, Minoli JJ, Adams WP, Hollier LH (1997) The lateral nasal osteotomy in rhinoplasty: an anatomic endoscopic comparison of the external versus the internal approach. Plast Reconstr Surg 99(5): 1309–1312PubMedCrossRefGoogle Scholar
  4. 4.
    Murakami CS, Larrabee WF (1992) Comparison of osteotomy techniques in the treatment of nasal fractures. Facial Plast Surg 8(4):209–219PubMedCrossRefGoogle Scholar
  5. 5.
    Becker DG, McLaughlin RB Jr, Loevner LA, Mang A (2000) The lateral osteotomy in rhinoplasty: clinical and radiographic rationale for osteotome selection. Plast Reconstr Surg 105(5):1806–1816PubMedCrossRefGoogle Scholar
  6. 6.
    Larrabee WF, Cupp CC (1994) Advanced nasal anatomy. Facial Plast Surg Clin North Am 2:393–416Google Scholar
  7. 7.
    Erişir F, Tahamiler R (2008) Lateral osteotomies in rhinoplasty: a safer and less traumatic method. Aesthet Surg J 28(5):518–520PubMedCrossRefGoogle Scholar
  8. 8.
    Kuran I, Ozcan H, Usta A, Bas L (1996) Comparison of 4 different types of osteotomes for lateral osteotomy: a cadaver study. Aesthetic Plast Surg 20(4): 323–326PubMedCrossRefGoogle Scholar
  9. 9.
    Johnson CM, Toriumi DM (1990) Open structure ­rhinoplasty. W.B. Saunders Co., Philadelphia, p 179Google Scholar
  10. 10.
    Thomas JR, Griner NR, Remmler DJ (1987) Steps for a safer method of osteotomies in rhinoplasty. Laryngoscope 97(6):746–747PubMedGoogle Scholar
  11. 11.
    Tardy ME, Denneny JC (1984) Micro-osteotomies in rhinoplasty. Facial Plast Surg 1:137–145CrossRefGoogle Scholar
  12. 12.
    Mottura AA (2010) Internal lateral nasal osteotomy: double-guarded osteotome and mucosa tearing. Aesthetic Plast Surg 35(2):171–176PubMedCrossRefGoogle Scholar
  13. 13.
    Giacomarra V, Russolo M, Arnez ZM, Tirelli G (2001) External osteotomy in rhinoplasty. Laryngoscope 111(3):433–438PubMedCrossRefGoogle Scholar
  14. 14.
    Webster RC, Davidson TM, Smith RC (1977) Curved lateral osteotomy for airway protection in rhinoplasty. Arch Otolaryngol 103(8):454–458PubMedCrossRefGoogle Scholar
  15. 15.
    Denecke HJ, Meyer R (1967) Plastic surgery of the head and neck: corrective and reconstructive rhinoplasty. Springer, New YorkCrossRefGoogle Scholar
  16. 16.
    Straatsma CR (1961) Surgery of the bony nose: comparative evaluation of chisel and saw technique. Plast Reconstr Surg 28:246–248CrossRefGoogle Scholar
  17. 17.
    Rohrich RJ, Krueger JK, Adams WP Jr, Hollier LH Jr (2001) Achieving consistency in the lateral nasal osteotomy during rhinoplasty: an external perforated technique. Plast Reconstr Surg 108(7):2122–2130PubMedCrossRefGoogle Scholar
  18. 18.
    Kara CO, Gokalan I (1999) Effects of single-dose steroid usage on edema, ecchymosis, and intraoperative bleeding in rhinoplasty. Plast Reconstr Surg 104(7):2213–2218PubMedCrossRefGoogle Scholar
  19. 19.
    Tebbetts JG (1998) Primary rhinoplasty: a new approach to the logic and the techniques. Mosby, St. Louis, pp 225–260Google Scholar
  20. 20.
    Most S, Murakai CS (2005) A modern approach to nasal osteotomies. Facial Plast Surg Clin North Am 13(1):85–92PubMedCrossRefGoogle Scholar
  21. 21.
    Hilger JA (1968) The internal lateral osteotomy in rhinoplasty. Arch Otolaryngol 88(2):211–212PubMedCrossRefGoogle Scholar
  22. 22.
    Anderson JR (1966) A new approach to rhinoplasty. Trans Am Acad Ophthalmol Otolaryngol 70(2): 183–192PubMedGoogle Scholar
  23. 23.
    Bracaglia R, Fortunato R, Gentileschi S (2004) Double lateral osteotomy in aesthetic rhinoplasty. Br J Plast Surg 57(2):156–159PubMedCrossRefGoogle Scholar
  24. 24.
    Monasterio FO (1994) Rhinoplasty. W.B. Saunders Co., Philadelphia, pp 33–35Google Scholar
  25. 25.
    Ford CN, Battaglia DG, Gentry LR (1984) Preservation of periosteal attachment in lateral osteotomy. Ann Plast Surg 13(2):107–111PubMedCrossRefGoogle Scholar
  26. 26.
    Hinton AE, Hung T, Daya H, O’Connell M (2003) Visibility of puncture sites after external osteotomy in rhinoplastic surgery. Arch Facial Plast Surg 5(5): 408–411PubMedCrossRefGoogle Scholar
  27. 27.
    Harsha BC (2009) Complications of rhinoplasty. Oral Maxillofac Surg Clin North Am 21(1):81–89PubMedCrossRefGoogle Scholar
  28. 28.
    Gryskiewicz JM, Hatef DA, Bullocks JM, Stal S (2010) Problems in rhinoplasty. Clin Plast Surg 37(2): 389–399PubMedCrossRefGoogle Scholar
  29. 29.
    Gruber RP, Aiach G (2001) Open rhinoplasty. In: Goldwyn RM, Cohen MN (eds) Avoiding the unfavorable result in plastic surgery, 3rd edn. Lippincott Williams & Wilkins, Philadelphia, pp 950–981Google Scholar
  30. 30.
    Gall R, Blakley B, Warrington R, Bell DD (1999) Intraoperative anaphylactic shock from Bacitracin nasal packing after septorhinoplasty. Anesthesiology 91(5):1545–1547PubMedCrossRefGoogle Scholar
  31. 31.
    Holt GR, Garner ET, McLarey D (1987) Postoperative sequelae and complications of rhinoplasty. Otolaryngol Clin North Am 20(4):853–876PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Tus Ent CenterIstanbulTurkey
  2. 2.Beylerbeyi, Uskudar, IstanbulTurkey
  3. 3.Department of OtolaryngologyIstanbul University Cerrahpasa School of MedicineKocamustafapasa, Fatih, IstanbulTurkey

Personalised recommendations