Skip to main content

Lateral Osteotomy in Rhinoplasty

  • Chapter
  • First Online:
Advanced Aesthetic Rhinoplasty

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 229.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 299.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 299.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Dobratz EJ, Hilger PA (2010) Osteotomies. Clin Plast Surg 37(2):301–311

    Article  PubMed  Google Scholar 

  2. Murakami CS, Younger RAL (1995) Managing the postrhinoplasty or post-traumatic crooked nose. Facial Plast Surg Clin North Am 3:421

    Google Scholar 

  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): 1309–1312

    Article  PubMed  CAS  Google Scholar 

  4. Murakami CS, Larrabee WF (1992) Comparison of osteotomy techniques in the treatment of nasal fractures. Facial Plast Surg 8(4):209–219

    Article  PubMed  CAS  Google Scholar 

  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):1806–1816

    Article  PubMed  CAS  Google Scholar 

  6. Larrabee WF, Cupp CC (1994) Advanced nasal anatomy. Facial Plast Surg Clin North Am 2:393–416

    Google Scholar 

  7. Erişir F, Tahamiler R (2008) Lateral osteotomies in rhinoplasty: a safer and less traumatic method. Aesthet Surg J 28(5):518–520

    Article  PubMed  Google Scholar 

  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): 323–326

    Article  PubMed  CAS  Google Scholar 

  9. Johnson CM, Toriumi DM (1990) Open structure ­rhinoplasty. W.B. Saunders Co., Philadelphia, p 179

    Google Scholar 

  10. Thomas JR, Griner NR, Remmler DJ (1987) Steps for a safer method of osteotomies in rhinoplasty. Laryngoscope 97(6):746–747

    PubMed  CAS  Google Scholar 

  11. Tardy ME, Denneny JC (1984) Micro-osteotomies in rhinoplasty. Facial Plast Surg 1:137–145

    Article  Google Scholar 

  12. Mottura AA (2010) Internal lateral nasal osteotomy: double-guarded osteotome and mucosa tearing. Aesthetic Plast Surg 35(2):171–176

    Article  PubMed  Google Scholar 

  13. Giacomarra V, Russolo M, Arnez ZM, Tirelli G (2001) External osteotomy in rhinoplasty. Laryngoscope 111(3):433–438

    Article  PubMed  CAS  Google Scholar 

  14. Webster RC, Davidson TM, Smith RC (1977) Curved lateral osteotomy for airway protection in rhinoplasty. Arch Otolaryngol 103(8):454–458

    Article  PubMed  CAS  Google Scholar 

  15. Denecke HJ, Meyer R (1967) Plastic surgery of the head and neck: corrective and reconstructive rhinoplasty. Springer, New York

    Book  Google Scholar 

  16. Straatsma CR (1961) Surgery of the bony nose: comparative evaluation of chisel and saw technique. Plast Reconstr Surg 28:246–248

    Article  CAS  Google Scholar 

  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):2122–2130

    Article  PubMed  CAS  Google Scholar 

  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):2213–2218

    Article  PubMed  CAS  Google Scholar 

  19. Tebbetts JG (1998) Primary rhinoplasty: a new approach to the logic and the techniques. Mosby, St. Louis, pp 225–260

    Google Scholar 

  20. Most S, Murakai CS (2005) A modern approach to nasal osteotomies. Facial Plast Surg Clin North Am 13(1):85–92

    Article  PubMed  Google Scholar 

  21. Hilger JA (1968) The internal lateral osteotomy in rhinoplasty. Arch Otolaryngol 88(2):211–212

    Article  PubMed  CAS  Google Scholar 

  22. Anderson JR (1966) A new approach to rhinoplasty. Trans Am Acad Ophthalmol Otolaryngol 70(2): 183–192

    PubMed  CAS  Google Scholar 

  23. Bracaglia R, Fortunato R, Gentileschi S (2004) Double lateral osteotomy in aesthetic rhinoplasty. Br J Plast Surg 57(2):156–159

    Article  PubMed  CAS  Google Scholar 

  24. Monasterio FO (1994) Rhinoplasty. W.B. Saunders Co., Philadelphia, pp 33–35

    Google Scholar 

  25. Ford CN, Battaglia DG, Gentry LR (1984) Preservation of periosteal attachment in lateral osteotomy. Ann Plast Surg 13(2):107–111

    Article  PubMed  CAS  Google Scholar 

  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): 408–411

    Article  PubMed  Google Scholar 

  27. Harsha BC (2009) Complications of rhinoplasty. Oral Maxillofac Surg Clin North Am 21(1):81–89

    Article  PubMed  Google Scholar 

  28. Gryskiewicz JM, Hatef DA, Bullocks JM, Stal S (2010) Problems in rhinoplasty. Clin Plast Surg 37(2): 389–399

    Article  PubMed  Google Scholar 

  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 950–981

    Google Scholar 

  30. Gall R, Blakley B, Warrington R, Bell DD (1999) Intraoperative anaphylactic shock from Bacitracin nasal packing after septorhinoplasty. Anesthesiology 91(5):1545–1547

    Article  PubMed  CAS  Google Scholar 

  31. Holt GR, Garner ET, McLarey D (1987) Postoperative sequelae and complications of rhinoplasty. Otolaryngol Clin North Am 20(4):853–876

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rauf Tahamiler M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Tahamiler, R., Yener, M. (2013). Lateral Osteotomy in Rhinoplasty. In: Shiffman, M., Di Giuseppe, A. (eds) Advanced Aesthetic Rhinoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28053-5_28

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-28053-5_28

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-28052-8

  • Online ISBN: 978-3-642-28053-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics