title: Nasal Bone Osteotomies with Nonpowered Tools.
abstract: Controlling the shape of the nasal bones has long been a frustrating problem. Conventional osteotomies are associated with bleeding, loss of reduction, inability to achieve the desired alignment, improperly placed osteotomy sites, and spicule formation. A nonpowered osteotomy method empirically provided the safest and most controlled technique to achieve the desired anatomic result. The nasal bones should be thought of as 2 thin nasal plates that can be released from their medial and lateral attachments to become mobile units that can affect the dorsal width and bony base independently. There is a learning curve to osteotomies.
authors.affiliation: Division of Plastic & Reconstructive Surgery, University of California, San Francisco, 3318 Elm Street, Oakland, CA 94609, USA. Electronic address: rgrubermd@hotmail.com.
authors.forename: Ronald P
authors.initials: RP
authors.lastname: Gruber
authors.affiliation: Division of Plastic & Reconstructive Surgery, Stanford University, Stanford, CA, USA.
authors.forename: Rebecca M
authors.initials: RM
authors.lastname: Garza
authors.affiliation: Division of Plastic & Reconstructive Surgery, University of California, San Francisco, San Francisco, CA, USA.
authors.forename: Gerald J
authors.initials: GJ
authors.lastname: Cho
mesh_terms: D006801:Humans; D009295:Nasal Bone / Q000601:surgery*; D010027:Osteotomy / Q000295:instrumentation*; D012225:Rhinoplasty / Q000379:methods*
keywords: DDAVP; Low-to-low osteotomy; Medial oblique osteotomy; Nasal bones; Osteotome; Osteotomy