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Updated: May 9, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Osteotomies in rhinoplasty surgery
1Department of Otolaryngology, University of Oklahoma, Nichols Hills, Oklahoma 73116, USA. ivanwayne@hotmail.com
Purpose Of Review:
To review the current literature on nasal osteotomies with an emphasis on new techniques as well as evaluations of existing procedures.
Recent Findings:
Powered instrumentation has seen greater use and is felt to offer an improvement by some over more traditional methods. The enbloc osteotomy may be an alternative procedure to straighten a deviated bony dorsum that does not require hump reduction. Osteotomy sequence can have a significant effect on final outcomes. Comparisons of continuous vs. perforating osteotomy shows only a difference in ecchymosis and edema rather than effectiveness.
Summary:
The often frustrating and inconsistent nasal osteotomy has been carefully scrutinized by many surgeons over the years. Evolutionary improvements have been developed that may reduce outcome variability and enhance reliability.
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