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Dorsal hump surgery and lateral osteotomy.
Behnam Bohluli1, Nima Moharamnejad, Mohammad Bayat
1Department of Oral and Maxillofacial Surgery, Buali Hospital, Azad University, Neyestan #10, Pasdaran Avenue, Tehran, Iran. bbohluli@yahoo.com
Oral and Maxillofacial Surgery Clinics of North America
|January 31, 2012
Summary
Lateral osteotomy, a key step in rhinoplasty, addresses nasal width and alignment. This review covers essential concepts for nasal hump surgery and osteotomy techniques in cosmetic procedures.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Aesthetics
Background:
- Lateral osteotomy is a crucial but debated technique in rhinoplasty.
- It is employed to correct nasal width, asymmetry, and deformities like the open roof.
- Various methods exist, primarily based on internal continuous or external perforator approaches.
Purpose of the Study:
- To review the fundamental principles of nasal hump reduction.
- To explore the essential concepts and techniques of lateral osteotomy in cosmetic rhinoplasty.
Main Methods:
- Review of existing literature and surgical techniques for lateral osteotomy.
- Focus on internal continuous and external perforator osteotomy methods.
- Discussion of modifications and essential concepts in rhinoplasty.
Main Results:
- Lateral osteotomy serves multiple functions in rhinoplasty, including narrowing wide noses and correcting deviations.
- Internal continuous and external perforator osteotomies are the primary methods.
- Numerous other techniques are variations of these core approaches.
Conclusions:
- Understanding lateral osteotomy is vital for successful rhinoplasty outcomes.
- Nasal hump surgery and osteotomy techniques are integral to achieving desired aesthetic results.
- This review provides essential insights for surgeons performing cosmetic rhinoplasty.

