Abstract
The vast majority of mid-vault surgeries consist of hump reduction and osteotomy. The frequency of hump nose reduction has been increasing among Asian patients, for whom the operation varies significantly relative to Caucasian patients. In Caucasian patients, the hump nose is characterized by excessive height of the dorsum on a long nose. In contrast, the Asian hump nose is characterized by wide variations in radix height and nasal length, which calls for a wider spectrum of operative options.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Further Reading
Harshbarger RJ, Sullivan PK. The optimal medial osteotomy: a study of nasal bone thickness and fracture patterns. Plast Reconstr Surg. 2001;108:2114–9.
Tardy ME Jr. Rhinoplasty: the art and the science. Philadelphia, PA: W.B. Saunders Company; 1997.
Tasman A-J. Rhinoplasty – indications and techniques. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2007;6:Doc09.
Guyuron B. Nasal osteotomy and airway changes. Plast Reconstr Surg. 1998;102(3):856–60.
Spencer Cochran C, Ducic Y, DeFatta RJ. Rethinking nasal osteotomies: an anatomic approach. Laryngoscope. 2007;117:662–7.
Gabra N, Rahal A, Ahmarani C. Nasal osteotomies. A cadaveric study of fracture lines. JAMA Facial Plast Surg. 2014;16(4):268–71.
Sinha V, Gupta D, More Y, Prajapati B, et al. Eternal vs. internal osteotomy in rhinoplasty. Indian J Otolaryngol Head Neck Surg. 2006;59(1):9–12.
Byrne PJ, Walsh WE, Hilger PA. The use of “inside-out” lateral osteotomies to improve outcome in rhinoplasty. Arch Fac Plast Surg. 2003;5:251–5.
Bracaglia R, Fortunato R, Gentileschi S. Double lateral osteotomy in aesthetic rhinoplasty. Br J Plast Surg. 2004;57:156–9.
Rohrich RJ, Muzaffar AR, Janis JE. Component dorsal hump reduction: the importance of maintaining dorsal aesthetic lines in rhinoplasty. Plast Reconstr Surg. 2004;114(5):1298–308.
Geissler PJ, Roostaeian J, Lee MR, Unger JJ, Rohrich RJ. Role of upper lateral cartilage tension spanning suture in restoring the dorsal aesthetic lines in rhinoplasty. Plast Reconstr Surg. 2014;133(1):7e–11e.
Roostaeian J, Unger JG, Lee MR, Geissler P, Rohrich RJ. Reconstitution of the nasal dorsum following component dorsal reduction in primary rhinoplasty. Plast Reconstr Surg. 2014;133(3):509–18.
Larrabee WF Jr, Murakami C. Osteotomy techniques to correct posttraumatic deviation of the nasal pyramid: a technical note. J Cranio-Maxillofacial Trauma. 2000;6(1):43–7.
Regan Thomas J, Prendiville S. Overly wide cartilaginous middle vault. Facial Plast Surg Clin N Am. 2004;12:107–10.
Kara CO, Kara IG, Tpuz B. Does creating a subperiosteal tunnel influence periorbital edema and ecchymosis in rhinoplasty? J Oral Maxillofacial Surg. 2005;63:1088–90.
Rohrich RJ, Janis JE, Adams WP, Krueger JK. An update on the lateral nasal osteotomy in rhinoplasty; an anatomic endoscopic comparison of the external versus the internal approach. Plast Reconstr Surg. 2003;111:2461–2.
Gruber RP, Garza RM, Cho GJ. Nasal bone osteotomies with nonpowered tools. Clin Plast Surg. 2016;43(1):73–83.
Westreich RW, Lawson W. Perforating double lateral osteotomy. Arch Facial Plast Surg. 2005;7(4):257–60.
Rohrich RJ, Janis JE. Osteotomies in rhinoplasty: an updated technique. Aesth Surg J. 2003;23:56–8.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Suh, M.K. (2018). Mid-Vault Surgery: Hump Reduction and Osteotomy. In: Atlas of Asian Rhinoplasty. Springer, Singapore. https://doi.org/10.1007/978-981-10-8645-8_8
Download citation
DOI: https://doi.org/10.1007/978-981-10-8645-8_8
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-8644-1
Online ISBN: 978-981-10-8645-8
eBook Packages: MedicineMedicine (R0)