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Visibility of puncture sites after external osteotomy in rhinoplastic surgery
Anthony E Hinton1, Terry Hung, Hamid Daya
1Department of Otolaryngology, St George's Hospital, London, England.
Background:
External lateral osteotomy performed through a small puncture incision in the skin has numerous advantages, but it has been criticized by its opponents who claim it may leave visible scars.
Objective:
To examine whether the external lateral osteotomy actually leaves visible scars.
Methods:
Eighty-one postoperative photographs of patients who had undergone the external lateral osteotomy technique were reviewed. The photographic slides were a mixture of some taken 3 months after surgery and others taken 6 months after surgery. Scar visibility was assessed.
Results:
Percutaneous puncture site visibility as assessed by 3 surgeons independently was 0% at 6 months after surgery and about 3% at 3 months after surgery.
Conclusion:
The external osteotomy procedure produces an excellent cosmetic result at the puncture sites in the skin.