Facial Plast Surg 2024; 40(06): 789-801
DOI: 10.1055/a-2285-6278
Original Research

Osteotomy Techniques in Preservation Rhinoplasty with an Analysis of a Radix–Skull Base Computed Tomography Series

José C. Neves
1   Department of Facial Plastic and Reconstructive Surgery, My Face Academy, Clinica da Face, Lisbon, Portugal
,
Maryam Abdulraheem
2   Department of Otorhinolaryngology, Head and Neck Surgery (ENT), Hamad Medical Corporation, Doha, Qatar
,
Ligia Neves
3   Department of Neuroradiology, My Face Academy, Clinica da Face, Lisbon, Portugal
,
Barbara Flora
4   Department of Otolaryngology (ENT), My Face Academy, Clinica da Face, Lisbon, Portugal
,
Alwyn D'Souza
5   Department of Head and Neck, Facial Plastic and Reconstructive Surgeon, University Hospital Lewisham, London, United Kingdom
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Abstract

This study aims to explain our experience with dorsal preservation osteotomies, focusing on transverse, lateral, and dorsal aesthetic lines (DAL) osteotomies. We describe the utilization of a variety of surgical instruments, including osteotomes, saws, burrs, and piezo. This paper describes our concept of transcutaneous ultrasonic osteotomy, microedged-specific osteotomy, applying drills for lateral wall reshaping, and integrating piezo technology to establish new DAL. Furthermore, we present a radix–skull base computed tomography series analysis to evaluate the safety of transverse and radix osteotomies.

Keywords

DAL osteotomies - radix osteotomy - TUO - MESO - skull base trauma


Publication History

Accepted Manuscript online:
12 March 2024

Article published online:
12 April 2024

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