Related Experiment Video
Updated: Dec 23, 2025
Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Impact of 2 Lateral Nasal Osteotomy Techniques on the Periorbital Subunits
Seied Omid Keyhan1, Hamid Reza Fallahi2, Tirbod Fattahi3
1Oral & Maxillofacial Surgeon and Co-Investigator, Department of Oral & Maxillofacial Surgery, College of Medicine, University of Florida, Jacksonville, FL.
Purpose:
The periorbital area undergoes a series of postoperative sequelae after rhinoplasty.
Patients And Methods:
Between January 2015 and January 2016, 50 patients aged between 19 and 46 years who underwent rhinoplasty qualified for the study. Of these patients, 25 were chosen for each group: One group underwent a low-to-low lateral nasal osteotomy, and the other group underwent a low-to-high lateral nasal osteotomy. Six specific periocular findings were designated and recorded to measure differences in the outcomes of the 2 osteotomy techniques. Specific periocular findings included the amount of scleral show as measured through the marginal reflex distance; lateral and medial scleral surface area; and palpebral fissure height, width, and inclination.
Results:
There were no significant differences in any of the outcome variables at different intervals between the 2 groups (P > .05) except for palpebral fissure inclination after 3 months (P = .02).
Conclusions:
According to the results and considering the inherent limitations of the study, it can be concluded that both low-to-low and low-to-high techniques are similar and have no considerable permanent effects on the periorbital region.
