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Double lateral osteotomy in aesthetic rhinoplasty
R Bracaglia1, R Fortunato, S Gentileschi
1Department of Plastic and Reconstructive Surgery, Università Cattolica del Sacro Cuore, Policlinico A. Gemelli, Largo A. Gemelli, 1 Rome, Italy.
British Journal of Plastic Surgery
|March 24, 2004
Summary
Double lateral osteotomy in rhinoplasty effectively addresses severe nasal asymmetry and wide noses. This technique provides excellent aesthetic and functional outcomes for complex cases, enhancing cosmetic surgery results.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Aesthetic Surgery
Background:
- Lateral osteotomy is crucial in rhinoplasty for nasal narrowing, roof closure, and symmetry.
- Single lateral osteotomy often achieves desired cosmetic and functional results.
- Complex nasal deformities may require advanced osteotomy techniques.
Purpose of the Study:
- To evaluate the efficacy of double lateral osteotomy in rhinoplasty.
- To assess aesthetic and functional outcomes in patients undergoing double lateral osteotomy.
- To identify specific indications for double lateral osteotomy.
Main Methods:
- Retrospective review of 1660 rhinoplasties with over one year follow-up.
- Analysis of 210 cases (12.65%) treated with monolateral or bilateral double osteotomy.
- Evaluation of postoperative aesthetic and functional results.
Main Results:
- Double lateral osteotomy is beneficial for severe nasal asymmetry with prominent maxillary processes.
- This technique is valuable for correcting very large and wide noses.
- The study reviewed a significant number of cases with long-term follow-up.
Conclusions:
- Double lateral osteotomy is a valuable technique for specific complex rhinoplasty cases.
- It offers excellent aesthetic and functional improvements in managing severe nasal asymmetry and width.
- The findings support the use of double lateral osteotomy in select patient populations.