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Facial Plast Surg 2011; 27(5): 456-466
DOI: 10.1055/s-0031-1288927
© Thieme Medical Publishers

Osteotomies in the Crooked Nose

Jason D. Bloom1 , 2 , Sara B. Immerman2 , Minas Constantinides1 , 2
  • 1Division of Facial Plastic and Reconstructive Surgery, New York, New York
  • 2Department of Otolaryngology, NYU Langone Medical Center, New York, New York
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Publication History

Publication Date:
25 October 2011 (online)

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ABSTRACT

The crooked nasal pyramid and upper third of the nose can be straightened with various osteotomes. Appropriate solutions to maximize successful nasal straightening require a thorough knowledge of the anatomy, a comprehensive preoperative plan, and the appropriate osteotomy choice.

KEYWORDS

Osteotomies - lateral osteotomies - medial osteotomies - intermediate osteotomies - nasal bones - crooked nose

REFERENCES

  • 1 Most S P, Murakami C S. A modern approach to nasal osteotomies.  Facial Plast Surg Clin North Am. 2005;  13 85-92
    Search in Google Scholar
  • 2 Dobratz E J, Hilger P A. Osteotomies.  Clin Plast Surg. 2010;  37 301-311
    Search in Google Scholar
  • 3 Harshbarger R J, Sullivan P K. Lateral nasal osteotomies: implications of bony thickness on fracture patterns.  Ann Plast Surg. 1999;  42 365-370 discussion 370-371
    Search in Google Scholar
  • 4 Harris M O, Baker S R. Management of the wide nasal dorsum.  Arch Facial Plast Surg. 2004;  6 41-48
    Search in Google Scholar
  • 5 Rohrich R J, Hoxworth R E, Thornton J F, Pessa J E. The pyriform ligament.  Plast Reconstr Surg. 2008;  121 277-281
    Search in Google Scholar
  • 6 Kim D W, Toriumi D M. Management of posttraumatic nasal deformities: the crooked nose and the saddle nose.  Facial Plast Surg Clin North Am. 2004;  12 111-132
    Search in Google Scholar
  • 7 Kortbus M J, Ham J, Fechner F, Constantinides M. Quantitative analysis of lateral osteotomies in rhinoplasty.  Arch Facial Plast Surg. 2006;  8 369-373
    Search in Google Scholar
  • 8 Cochran C S, Ducic Y, Defatta R J. Rethinking nasal osteotomies: an anatomic approach.  Laryngoscope. 2007;  117 662-667
    Search in Google Scholar
  • 9 Grymer L F, Gregers-Petersen C, Baymler Pedersen H. Influence of lateral osteotomies in the dimensions of the nasal cavity.  Laryngoscope. 1999;  109 936-938
    Search in Google Scholar
  • 10 Murakami C S, Larrabee W F. Comparison of osteotomy techniques in the treatment of nasal fractures.  Facial Plast Surg. 1992;  8 209-219
    Search in Google Scholar
  • 11 Webster R C, Davidson T M, Smith R C. Curved lateral osteotomy for airway protection in rhinoplasty.  Arch Otolaryngol. 1977;  103 454-458
    Search in Google Scholar
  • 12 Byrne P J, Walsh W E, Hilger P A. The use of “inside-out” lateral osteotomies to improve outcome in rhinoplasty.  Arch Facial Plast Surg. 2003;  5 251-255
    Search in Google Scholar
  • 13 Tardy M E. Rhinoplasty: The Art and the Science. Philadelphia: Saunders; 1997
    Search in Google Scholar
  • 14 Zoumalan R A, Shah A R, Constantinides M. Quantitative comparison between microperforating osteotomies and continuous lateral osteotomies in rhinoplasty.  Arch Facial Plast Surg. 2010;  12 92-96
    Search in Google Scholar
  • 15 Rohrich R J, Minoli J J, Adams W P, Hollier L H. The lateral nasal osteotomy in rhinoplasty: an anatomic endoscopic comparison of the external versus the internal approach.  Plast Reconstr Surg. 1997;  99 1309-1312 discussion 1313
    Search in Google Scholar
  • 16 Rohrich R J. Rhinoplasty: dorsal reduction and osteotomies. The 12th Annual Dallas Rhinoplasty Symposium. University of Texas Southwestern Medical Center at Dallas, TX. March 4–6, 1995. 12: 209
    Search in Google Scholar
  • 17 Goldfarb M, Gallups J M, Gerwin J M. Perforating osteotomies in rhinoplasty.  Arch Otolaryngol Head Neck Surg. 1993;  119 624-627
    Search in Google Scholar
  • 18 Ford C N, Battaglia D G, Gentry L R. Preservation of periosteal attachment in lateral osteotomy.  Ann Plast Surg. 1984;  13 107-111
    Search in Google Scholar
  • 19 Hinton A E, Hung T, Daya H, O'Connell M. Visibility of puncture sites after external osteotomy in rhinoplastic surgery.  Arch Facial Plast Surg. 2003;  5 408-411
    Search in Google Scholar
  • 20 Tardy M E, Denneny J C. Micro-osteotomies in rhinoplasty.  Facial Plast Surg. 1984;  1 137-145
    Search in Google Scholar
  • 21 Helal M Z, El-Tarabishi M, Magdy Sabry S, Yassin A, Rabie A, Lin S J. Effects of rhinoplasty on the internal nasal valve: a comparison between internal continuous and external perforating osteotomy.  Ann Plast Surg. 2010;  64 649-657
    Search in Google Scholar
  • 22 Gryskiewicz J M, Gryskiewicz K M. Nasal osteotomies: a clinical comparison of the perforating methods versus the continuous technique.  Plast Reconstr Surg. 2004;  113 1445-1456 discussion 1457-1458
    Search in Google Scholar
  • 23 Yücel O T. Which type of osteotomy for edema and ecchymosis: external or internal?.  Ann Plast Surg. 2005;  55 587-590
    Search in Google Scholar
  • 24 Becker D G, McLaughlin Jr R B, Loevner L A, Mang A. The lateral osteotomy in rhinoplasty: clinical and radiographic rationale for osteotome selection.  Plast Reconstr Surg. 2000;  105 1806-1816 discussion 1817-1819
    Search in Google Scholar
  • 25 Gryskiewicz J M. Visible scars from percutaneous osteotomies.  Plast Reconstr Surg. 2005;  116 1771-1775
    Search in Google Scholar
  • 26 Harshbarger R J, Sullivan P K. The optimal medial osteotomy: a study of nasal bone thickness and fracture patterns.  Plast Reconstr Surg. 2001;  108 2114-2119 discussion 2120-2121
    Search in Google Scholar
  • 27 Parkes M L, Kamer F, Morgan W R. Double lateral osteotomy in rhinoplasty.  Arch Otolaryngol. 1977;  103 344-348
    Search in Google Scholar
  • 28 Westreich R W, Lawson W. Perforating double lateral osteotomy.  Arch Facial Plast Surg. 2005;  7 257-260
    Search in Google Scholar
  • 29 Zoumalan R A, Carron M A, Tajudeen B A, Miller P J. Treatment of dorsal deviation.  Otolaryngol Clin North Am. 2009;  42 579-586
    Search in Google Scholar
  • 30 Jang Y J, Wang J H, Lee B J. Classification of the deviated nose and its treatment.  Arch Otolaryngol Head Neck Surg. 2008;  134 311-315
    Search in Google Scholar

Jason D BloomM.D. 

Division of Facial Plastic and Reconstructive Surgery, NYU Langone Medical Center

550 First Avenue, NBV Suite 5E5, New York, NY 10016

Email: bloomj@gmail.com