Osteotomies Demystified

Kyle K VanKoevering; Andrew J Rosko; Jeffrey S Moyer

doi:10.1016/j.fsc.2016.12.005

Osteotomies Demystified

Facial Plast Surg Clin North Am. 2017 May;25(2):201-210. doi: 10.1016/j.fsc.2016.12.005. Epub 2017 Feb 21.

Authors

Kyle K VanKoevering¹, Andrew J Rosko¹, Jeffrey S Moyer²

Affiliations

¹ Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Michigan, 1500 East Medical Center Drive, 1904 Taubman Center, Ann Arbor, MI 48109-5312, USA.
² Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology - Head and Neck Surgery, University of Michigan, 1500 East Medical Center Drive, 1904 Taubman Center, Ann Arbor, MI 48109-5312, USA; Center for Facial Cosmetic Surgery, 19900 Haggerty Road, Suite 103, Livonia, MI 48152, USA. Electronic address: JMoyer@med.umich.edu.

PMID: 28340651
DOI: 10.1016/j.fsc.2016.12.005

Abstract

Osteotomies are critical techniques in rhinoplasty. There are a variety of approaches, trajectories, and tools used with no widely standardized classification or nomenclature. Percutaneous osteotomies are gaining in popularity, and picture framing the nasomaxillary bone is crucial for predictable fracture and reproducible results. This is best accomplished with medial, lateral, and transverse osteotomies. Intermediate osteotomies are used less frequently, but provide more mobility. With a detailed understanding of anatomy and a thorough approach to nasal osteotomies, the contour and function of the bony vault can be reshaped with a successful outcome for both the surgeon and patient.

Keywords: Crooked nose; Dorsal hump; Functional rhinoplasty; Osteotomy; Percutaneous; Wide nasal dorsum.

Publication types

Review

MeSH terms

Anesthesia / methods
Humans
Nose / anatomy & histology
Osteotomy / adverse effects
Osteotomy / instrumentation
Osteotomy / methods*
Photography
Postoperative Complications / prevention & control
Preoperative Care
Rhinoplasty / methods*