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Medial Osteoectomy as a Routine Procedure in Rhinoplasty: Six-Year Experience with an Innovative Technique

Published on Feb 1, 2018in Aesthetic Plastic Surgery1.399
路 DOI :10.1007/s00266-017-0954-4
Abstract
Background Medial osteotomy is an integral part of most rhinoplasty procedures, and when improperly performed, it is associated with postoperative complications and nasal contour deformities. In this article, we present a minimally traumatic and easy-to-perform medial osteoectomy technique with a pair of pliers, as a routine procedure, instead of the traditional medial osteotomy with osteotome and hammer. We report our experience with the use of the technique in a series of rhinoplasty procedures and review in brief the existing literature.
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References20
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#1脟akr BH-Index: 1
#2FinocchiH-Index: 1
Last. Do臒an TH-Index: 1
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#1Giancarlo Tirelli (UniTS: University of Trieste)H-Index: 15
#2Margherita Tofanelli (UniTS: University of Trieste)H-Index: 5
Last. Massimo RobionyH-Index: 25
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Abstract Purpose To achieve the desired outcome in rhinoplasty depends on many factors. Osteotomy and surgical reshaping of nasal bones are important steps that require careful planning and execution. The availability of different tools raises the question of which one provides significant advantages for both technique and surgical outcome. Our prospective randomized pilot study compared the outcome of post-traumatic rhinoplasty performed with two different external techniques: ultrasound osteot...
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Background Although frequently performed in rhinoplasty, nasal osteotomies have been unpredictable in consistently controlling postoperative alterations in bony morphology in many patients. Consequently, a detailed algorithm for an individualized approach to osteotomy is needed to achieve superior aesthetic and functional outcomes. Objectives The authors aimed to propose a component-oriented and individualized approach for nasal osteotomy in rhinoplasty. Methods Clinical outcomes were reviewed f...
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#1J.-B. DuronH-Index: 1
#2Y. JallutH-Index: 1
Last. J. BardotH-Index: 1
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Resume Qu鈥檈lles soient paramedianes, superieures ou laterales, effectuees par voie endonasale ou percutanee, les osteotomies ont pour objectif de modifier la forme de la partie osseuse du nez. Loin d鈥檈tre systematiques, elles peuvent etre utilisees seules ou en association les unes aux autres. Leurs principales indications sont la correction d鈥檜ne asymetrie de la voute osseuse, la reduction d鈥檜ne voute large et la fermeture d鈥檜n toit ouvert apres resection d鈥檜ne bosse osteocartilagineuse importa...
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#1Nathalie Gabra (UdeM: Universit茅 de Montr茅al)H-Index: 4
#2Akram Rahal (UdeM: Universit茅 de Montr茅al)H-Index: 6
Last. Christian Ahmarani (UdeM: Universit茅 de Montr茅al)H-Index: 6
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Importance The different nasal osteotomy patterns used to perform rhinoplasty are poorly described in the literature, and there is a continuous debate between surgeons on the ideal sequence and technique to obtain desired results. Objectives (1) To evaluate the necessity of a paramedian osteotomy when performing a high-low-high (HLH) osteotomy, (2) to study the fracture pattern of a high-low-low (HLL) osteotomy when combined with a paramedian osteotomy in the presence and in the absence of a tra...
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#1Joshua B. Surowitz (Stanford University)H-Index: 2
#2Sam P. Most (Stanford University)H-Index: 18
This article provides a concise description of common complications of rhinoplasty, recommendations for avoidance, and corrective techniques. The surgeon must have a comprehensive understanding of nasal anatomy and effects of surgical maneuvers to help avoid complications. Meticulous history, physical examination, and standardized photographic documentation are central to preoperative evaluation and surgical planning for rhinoplasty. Photographic documentation is useful to illustrate preexisting...
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Background: A low-to-low lateral osteotomy combined with a transverse osteotomy offers a reliable technique to mobilize the lateral walls in patients with broad bony vaults, but variable 鈥渂rittling鈥 characteristics of the nasal bones near the radix make it difficult to guarantee the result of manual transverse osteotomy. Objectives: The author describes a split-thickness transverse osteotomy with the aid of an oscillating micro-saw under video/endoscopic control to eliminate the risk of probable...
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#1Jason D. BloomH-Index: 8
#2Sara ImmermanH-Index: 6
Last. Minas ConstantinidesH-Index: 13
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