Rhinoplasty: A Sequential Approach to Managing the Bony Vault
Vitaly Zholtikov, Vladimir Golovatinsky, Peter Palhazi1
1Department of Plastic Surgery, University of Pecs Medical School, Pecs, Hungary.
Aesthetic Surgery Journal
|June 4, 2019
Summary
This study introduces a piezoelectric instrument (PEI) technique for rhinoplasty, focusing on preserving nasal bone stability during bony pyramid reshaping. The method enhances aesthetic outcomes by ensuring long-term bone stability.
Area of Science:
- Plastic Surgery
- Otorhinolaryngology
- Surgical Technology
Background:
- Nasal bone treatment is crucial in rhinoplasty, often involving osteotomies and hump removal.
- Preserving nasal bone stability is key for successful rhinoplasty outcomes.
Purpose of the Study:
- To describe a rhinoplasty technique utilizing piezoelectric instruments (PEIs) for nasal bone shaping.
- To prioritize and maintain nasal bone stability during the procedure.
Main Methods:
- A step-by-step algorithm was employed for bony pyramid treatment using PEIs, tailored to asymmetry.
- A fully open surgical approach was consistently used to maximize visualization.
- Rhinosculpture (RS) was applied, alone or with osteotomies, to stabilize nasal bones.
Main Results:
- The study analyzed 165 clinical cases over 18 months.
- Patients were categorized into 5 groups based on the algorithm used for bony pyramid treatment.
- The PEI technique, combined with RS, demonstrated effectiveness in shaping nasal bones.
Conclusions:
- The described PEI approach enhances nasal bone stability, limiting patient movement.
- This stability contributes significantly to improved short-term and long-term aesthetic results in rhinoplasty.
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