Broad Nasal Bone Reduction: An Algorithm for Osteotomies

@article{Gruber2007BroadNB,
  title={Broad Nasal Bone Reduction: An Algorithm for Osteotomies},
  author={Ronald P. Gruber and T N Chang and David M. Kahn and Patrick K. Sullivan},
  journal={Plastic and Reconstructive Surgery},
  year={2007},
  volume={119},
  pages={1044-1053}
}
BACKGROUND A persistent problem with nasal bone osteotomies is inadequate reduction of the width of the nasal dorsum. [...] Key Method On one side, the osteotomy was performed on the medial side of the apex of the open roof. On the contralateral side, it was performed on the lateral side of the apex. The osteotome was then pried posteriorly. The resultant hemidorsal widths were compared.Expand
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References

SHOWING 1-10 OF 19 REFERENCES
The optimal medial osteotomy: a study of nasal bone thickness and fracture patterns.
TLDR
Sharp, thin osteotomes were preferred to perform the osteotomies and a transition in bone thickness was found both with increasing thickness from caudal to cephalic and lateral to medial, leading to a natural cleavage plane, evident in all 17 cadavers. Expand
The lateral osteotomy in rhinoplasty: clinical and radiographic rationale for osteotome selection.
TLDR
It is suggested that proper selection of osteotome and attention to proper surgical technique results in a reliable, minimally traumatic lateral osteotomy through the endonasal approach. Expand
Aesthetic and technical aspects of nasal osteotomies
Osteotomies of the nose including the lateral nasal bones, dorsal hump, and anterior nasal spine, are reviewed.The author shares his indications and techniques for these procedures. Some of theExpand
Lateral nasal osteotomies: implications of bony thickness on fracture patterns.
TLDR
In 17 cadavers with known demographics, bone fracture patterns after lateral osteotomy and digital greenstick infracture were studied and compared with measured lateral bone pyramid thicknesses. Expand
An update on the lateral nasal osteotomy in rhinoplasty: an anatomic endoscopic comparison of the external versus the internal approach.
TLDR
It is confirmed that the external perforated osteotomy results in a more controlled fracture with less intranasal trauma and can minimize the associated morbidity (hemorrhage, edema, and ecchymosis) in the rhinoplasty patient. Expand
Nasal osteotomy and airway changes.
  • B. Guyuron
  • Medicine
  • Plastic and reconstructive surgery
  • 1998
TLDR
It is concluded from this study that the nasal osteotomy does constrict the nasal airway in most incidences and the length of the nasal bones, the degree of nasal bone repositioning, and the position of the inferior turbinates are definite factors contributing to airway narrowing after nasal bone osteotomy. Expand
Achieving consistency in the lateral nasal osteotomy during rhinoplasty: an external perforated technique.
TLDR
The role of the external perforated osteotomy technique in reproducing consistent results in rhinoplasty with minimal postoperative complications is described. Expand
Analysis and correction of the crooked nose.
The crooked nose is defined as a nose in which the midline is off center without tissue loss. This leaves a nose that is angulated at the nasion or the rhinion. Surgical correction with angulation ofExpand
Steps for a safer method of osteotomies in rhinoplasty
TLDR
Using cadaver specimens, in addition to clinical observation, a safer method of osteotomy was acquired and several safety tips for each type of osteotomies are given. Expand
Rhinoplasty : aesthetic plastic surgery
A comprehensive text on rhinoplasty - plastic surgery of the nose. Beginning with the basic principles and preliminary planning, the text goes on to cover all the procedures and techniques used,Expand
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