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Updated: Jun 15, 2026

Endaural Endoscopic Atticoantrotomy (Retrograde Mastoidectomy) using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
Osteotomies
Eric J Dobratz1, Peter A Hilger
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology Head and Neck Surgery, University of Minnesota, 420 Delaware Street, MMC 396, Minneapolis, MN 55455, USA. dobratej@evms.edu
Abstract:
The most challenging and instrumental step in achieving harmonious form and function during rhinoplasty is the successful completion of osteotomies. Osteotomies are performed to correct deformities of the bony nasal vault. Successful treatment of deformity of the bony vault is achieved through organized thinking, comprehensive knowledge of nasal anatomy, and thorough preoperative and intraoperative planning. In this review the authors discuss the pertinent anatomy, technical considerations, and complications that rhinoplasty surgeons should be aware of to optimize the correction of deformities of the nasal bony vault.

