ABSTRACT
The bony nasal vault represents a complex three-dimensional structure, analogous to a truncated pyramid or pyramidal frustrum. By analyzing the nasal bones and determining the length and width of the nasal bones, appropriate surgical measures can be employed. In addition, a review of several different osteotomy techniques is performed.
KEYWORDS
Nasal - bones - osteotomy
REFERENCES
-
1
Becker D G, McLaughlin R B, Loevner L A, Mang A.
Clinical and radiographic rationale for osteotome selection.
Plast Reconstr Surg.
2000;
105
1806-1816
-
2
Citardi M J, Hardeman S, Hollenbeak C, Kokoska M.
Computer-aided assessment of bony nasal pyramid dimensions.
Arch Otolaryngol Head Neck Surg.
2000;
126
979-984
-
3
Osguthorpe J D, Calcaterra T C.
Nasolacrimal obstruction after maxillary sinus and rhinoplastic surgery.
Arch Otolaryngol.
1979;
105
264-266
-
4
Thomas J R, Griner N.
The relationship of lateral osteotomies in rhinoplasty to the lacrimal drainage system.
Otolaryngol Head Neck Surg.
1986;
94
362-367
-
5
Raut V V, Yung M W, Logan B M.
Endoscopic dacrocystorhinostomy: anatomical approach.
Rev Laryngol Otol Rhinol (Bord).
2000;
121
53-55
-
6
You Z H, Bell W H, Finn R A.
Location of the nasolacrimal canal in relation to the high Le Fort I osteotomy.
J Oral Maxillofac Surg.
1992;
50
1075-1080
-
7
Uzun L, Ugur M B, Peksoy I, Cabuk M, Cinar F.
The effect of lateral osteotomy of septorhinoplasty on nasolacrimal duct functions: a radionuclide imaging study.
Am J Rhinol.
2005;
19
388-394
-
8
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
-
9
Gryskiewicz J M.
Visible scars from percutaneous osteotomies.
Plast Reconstr Surg.
2005;
116
1771-1775
-
10
Yucel O T.
Which type of osteotomy for edema and ecchymosis: external or internal?.
Ann Plast Surg.
2005;
55
587-590
-
11
Kara C O, Kara I G, Topuz B.
Does creating a subperiosteal tunnel influence the periorbital edema and ecchymosis in rhinoplasty?.
J Oral Maxillofac Surg.
2005;
63
1088-1090
-
12
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
-
13
Harshbarger R J, Sullivan P K.
Lateral nasal osteotomies: implications of bony thickness on fracture patterns.
Ann Plast Surg.
1999;
42
365-370
-
14
Kuran I, Ozcan H, Usta A, Bas L.
Comparison of four different types of osteotomes for lateral osteotomy: a cadaver study.
Aesthetic Plast Surg.
1996;
20
323-326
-
15
Harris M O, Baker S R.
Management of the wide nasal dorsum.
Arch Facial Plast Surg.
2004;
6
41-48
-
16
Westreich R W, Lawson W.
Perforating double lateral osteotomy.
Arch Facial Plast Surg.
2005;
7
257-260
-
17 Sheen J H. Aesthetic Rhinoplasty. St. Louis, MO; CV Mosby 1978
-
18
Jameson J J, Perry A D, Ritter E F.
High septal osteotomy in rhinoplasty for the deviated nose.
Ann Plast Surg.
2006;
56
40-45
-
19
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
-
20
Guyuron B.
Nasal osteotomy and airway changes.
Plast Reconstr Surg.
1998;
102
856-860
-
21 Meyer R. Narrow nasal cavities. In: Meyer R Secondary Rhinoplasty: Including Reconstruction of the Nose. Berlin; Springer Verlag 2001: 339
-
22
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
252-255
Minas ConstantinidesM.D.
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, New York University School of Medicine
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