Nasal Bone Osteotomies with Nonpowered Tools

Ronald P Gruber; Rebecca M Garza; Gerald J Cho

doi:10.1016/j.cps.2015.09.019

Nasal Bone Osteotomies with Nonpowered Tools

Clin Plast Surg. 2016 Jan;43(1):73-83. doi: 10.1016/j.cps.2015.09.019.

Authors

Ronald P Gruber¹, Rebecca M Garza², Gerald J Cho³

Affiliations

¹ Division of Plastic & Reconstructive Surgery, University of California, San Francisco, 3318 Elm Street, Oakland, CA 94609, USA. Electronic address: rgrubermd@hotmail.com.
² Division of Plastic & Reconstructive Surgery, Stanford University, Stanford, CA, USA.
³ Division of Plastic & Reconstructive Surgery, University of California, San Francisco, San Francisco, CA, USA.

PMID: 26616696
DOI: 10.1016/j.cps.2015.09.019

Abstract

Controlling the shape of the nasal bones has long been a frustrating problem. Conventional osteotomies are associated with bleeding, loss of reduction, inability to achieve the desired alignment, improperly placed osteotomy sites, and spicule formation. A nonpowered osteotomy method empirically provided the safest and most controlled technique to achieve the desired anatomic result. The nasal bones should be thought of as 2 thin nasal plates that can be released from their medial and lateral attachments to become mobile units that can affect the dorsal width and bony base independently. There is a learning curve to osteotomies.

Keywords: DDAVP; Low-to-low osteotomy; Medial oblique osteotomy; Nasal bones; Osteotome; Osteotomy.

Publication types

Review

MeSH terms

Humans
Nasal Bone / surgery*
Osteotomy / instrumentation*
Rhinoplasty / methods*