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Visible scars from percutaneous osteotomies.

Joe M Gryskiewicz1

  • 1University of Minnesota Academic Health Center, School of Dentistry, Minneapolis, Minnesota 55435-4538, USA. grysk001@umn.edu

Plastic and Reconstructive Surgery
|November 4, 2005
PubMed
Summary

Percutaneous lateral nasal osteotomies rarely cause visible scarring (6%), with most patients (94%) showing imperceptible scars. This study compared external percutaneous and internal osteotomy techniques for rhinoplasty patients.

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Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Facial Plastic Surgery

Background:

  • Criticism of percutaneous lateral nasal osteotomy includes potential for visible scarring.
  • No prior clinical studies directly compared external percutaneous and internal osteotomy scarring in the same patient.
  • This study addresses the need for comparative data on scarring from different osteotomy approaches.

Purpose of the Study:

  • To test the hypothesis that percutaneous perforating osteotomies result in perceptible scars compared to transnasal internal lateral osteotomy.
  • To evaluate and compare visible scarring between external percutaneous and internal rhinoplasty osteotomy techniques within the same patient.

Main Methods:

  • Prospective, randomized, blinded study involving 50 rhinoplasty patients (100 lateral osteotomies).

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  • Each patient underwent one external percutaneous osteotomy and one internal lateral osteotomy.
  • Scarring was assessed by blinded examiners at multiple intervals up to 2 years post-operation.

    • Main Results:

    • The external percutaneous approach resulted in a visible scar in 6% of patients (3 out of 50).
    • One patient (2%) required scar revision following the percutaneous approach.
    • Careful cleansing of the osteotome is recommended to prevent traumatic tattooing.

    Conclusions:

    • Percutaneous osteotomies generally yield imperceptible scars in 94% of cases.
    • A small percentage of patients may develop visible scarring from the percutaneous technique.
    • The study provides evidence that percutaneous osteotomies are associated with minimal scarring.