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Surgical Protocol for a Safe Lateral Nasal Wall Osteotomy.
Muazzez Suzen1, Mustafa Temiz1, Oguzhan Demirel2
1Department of Oral and Maxillofacial Surgery, School of Dentistry, Medipol University.
The Journal of Craniofacial Surgery
|January 15, 2020
Summary
This study defines the anatomy of the lateral nasal wall, identifying safe surgical access points and establishing the "Medipol protocol" for optimized Le Fort I osteotomies.
Area of Science:
- Anatomy
- Surgical anatomy
- Maxillofacial surgery
Background:
- The lateral nasal wall is crucial for facial structure and surgical access.
- Understanding its anatomy is vital for procedures like Le Fort I osteotomies.
Purpose of the Study:
- To define the anatomy and variations of the lateral nasal wall.
- To identify safe surgical access points.
- To determine the optimal osteotomy line for Le Fort I osteotomies and define a surgical protocol.
Main Methods:
- Measurement of angulations and widths of 160 lateral nasal walls.
- Measurement of distances to the greater palatine canal.
- Analysis of axial images from coronal sections.
Main Results:
- Defined mean angulations and linear distances between lateral nasal wall structures.
- Found statistically significant differences in lateral nasal wall dimensions between males and females.
- Established a basis for the
Conclusions:
- The study successfully described the mean angulations and linear distances of lateral nasal wall structures.
- A new surgical protocol, the

