title: Osteotomies in rhinoplasty surgery.
abstract: OBJECTIVE
  To review the current literature on nasal osteotomies with an emphasis on new techniques as well as evaluations of existing procedures.
  
  
  RESULTS
  Powered instrumentation has seen greater use and is felt to offer an improvement by some over more traditional methods. The enbloc osteotomy may be an alternative procedure to straighten a deviated bony dorsum that does not require hump reduction. Osteotomy sequence can have a significant effect on final outcomes. Comparisons of continuous vs. perforating osteotomy shows only a difference in ecchymosis and edema rather than effectiveness.
  
  
  CONCLUSIONS
  The often frustrating and inconsistent nasal osteotomy has been carefully scrutinized by many surgeons over the years. Evolutionary improvements have been developed that may reduce outcome variability and enhance reliability.
authors.affiliation: Department of Otolaryngology, University of Oklahoma, Nichols Hills, Oklahoma 73116, USA. ivanwayne@hotmail.com
authors.forename: Ivan
authors.initials: I
authors.lastname: Wayne
mesh_terms: D006801:Humans; D009295:Nasal Bone / Q000601:surgery*; D009300:Nasal Septum / Q000601:surgery*; D010027:Osteotomy / Q000295:instrumentation / Q000379:methods*; D012225:Rhinoplasty / Q000295:instrumentation / Q000379:methods*