Osteotomies-When, Why, and How?

Area of Science:

• Plastic Surgery
• Otolaryngology
• Anatomy

Background:

• Nasal osteotomies are crucial for achieving desired aesthetic and functional outcomes in rhinoplasty.
• Common indications include correcting open roof deformities, crooked noses, and wide bony vaults.
• Diverse osteotomy techniques and timing strategies exist, each with specific advantages.

Purpose of the Study:

• To review the anatomy and nomenclature pertinent to nasal osteotomies.
• To elucidate the various locations, paths, and approaches (percutaneous, endonasal) for nasal osteotomies.
• To discuss timing, technical considerations, and instrumentation for nasal osteotomies.

Main Methods:

• Literature review of nasal osteotomy techniques, anatomy, and surgical approaches.
• Analysis of different osteotomy types: lateral, intermediate, medial, and superior/transverse.
• Discussion of percutaneous versus endonasal approaches and optimal timing.

Main Results:

• Detailed review of nasal osteotomy anatomy and nomenclature.
• Exploration of diverse osteotomy locations, paths, and surgical approaches.
• Consideration of timing, instrumentation, and technical aspects influencing outcomes.

Conclusions:

• Understanding nasal osteotomy variations is key to successful rhinoplasty.
• The choice of technique, approach, and timing impacts cosmetic and functional results.
• Optimal selection of instrumentation and technique minimizes soft-tissue trauma and complications.