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Updated: May 28, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Osteotomies in the crooked nose
Jason D Bloom1, Sara B Immerman, Minas Constantinides
1Division of Facial Plastic and Reconstructive Surgery, NYU Langone Medical Center, 550 First Avenue, NBV Suite 5E5, New York, NY 10016, USA. bloomj@gmail.com
Straightening a crooked nose involves using osteotomes to correct the nasal pyramid and upper nose. Success depends on understanding nasal anatomy, planning, and selecting the right osteotomy technique.
Area of Science:
- Rhinologic surgery
- Facial plastic surgery
- Orthognathic surgery
Background:
- Nasal pyramid deviation is a common aesthetic and functional concern.
- Correction of the nasal pyramid requires precise surgical techniques.
Purpose of the Study:
- To outline the principles of nasal pyramid straightening.
- To emphasize the importance of anatomical knowledge and surgical planning.
Main Methods:
- Utilizing various osteotomes for nasal bone osteotomy.
- Employing detailed preoperative assessment and planning.
Main Results:
- Successful nasal straightening is achievable with appropriate osteotome selection.
- Accurate anatomical understanding guides osteotomy choices.
Conclusions:
- Mastery of nasal anatomy and strategic osteotomy selection are crucial for successful nasal pyramid correction.
- Comprehensive preoperative planning is essential for optimal outcomes in rhinologic surgery.
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