A modern approach to nasal osteotomies.
A thorough understanding of the anatomy of the nose is paramount in rhinoplasty. Correction of deformities of the nasal vault presents a challenge to the facial plastic surgeon. Suboptimal aesthetic results may occur when either inadequate or excessive mobilization of the nasal bony-cartilaginous framework is performed. Furthermore, postoperative complications such as collapse of the nasal airway may occur. A number of techniques are available to appropriately mobilize and reposition the bony nasal vault. In this article, we will review pertinent anatomy, technical considerations and clinical perspectives on mobilization of the nasal bones.
Most
Sam P
SP
Chief, Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology--Head and Neck Surgery, University of Washington Medical Center, Seattle, 98105, USA. sammer@u.washington.edu
Murakami
Craig S
CS
D006801:Humans; D009295:Nasal Bone / Q000601:surgery*; D009666:Nose / Q000033:anatomy & histology; D010027:Osteotomy / Q000379:methods*; D012225:Rhinoplasty / Q000379:methods*