Osteotomy Techniques in Preservation Rhinoplasty with an Analysis of a Radix–Skull Base Computed Tomography Series

Author:

Neves José C.1,Abdulraheem Maryam2,Neves Ligia3,Flora Barbara4,D'Souza Alwyn5

Affiliation:

1. Department of Facial Plastic and Reconstructive Surgery, My Face Academy, Clinica da Face, Lisbon, Portugal

2. Department of Otorhinolaryngology, Head and Neck Surgery (ENT), Hamad Medical Corporation, Doha, Qatar

3. Department of Neuroradiology, My Face Academy, Clinica da Face, Lisbon, Portugal

4. Department of Otolaryngology (ENT), My Face Academy, Clinica da Face, Lisbon, Portugal

5. Department of Head and Neck, Facial Plastic and Reconstructive Surgeon, University Hospital Lewisham, London, United Kingdom

Abstract

AbstractThis study aims to explain our experience with dorsal preservation osteotomies, focusing on transverse, lateral, and dorsal aesthetic lines (DAL) osteotomies. We describe the utilization of a variety of surgical instruments, including osteotomes, saws, burrs, and piezo. This paper describes our concept of transcutaneous ultrasonic osteotomy, microedged-specific osteotomy, applying drills for lateral wall reshaping, and integrating piezo technology to establish new DAL. Furthermore, we present a radix–skull base computed tomography series analysis to evaluate the safety of transverse and radix osteotomies.

Publisher

Georg Thieme Verlag KG

Reference27 articles.

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2. Concepts of nasal physiology as related to corrective nasal surgery;M H Cottle;Arch Otolaryngol,1960

3. Curved lateral osteotomy for airway protection in rhinoplasty;R C Webster;Arch Otolaryngol,1977

4. The osteotomy in rhinoplasty;R T Farrior;Laryngoscope,1978

5. Comparison of osteotomy techniques in the treatment of nasal fractures;C S Murakami;Facial Plast Surg,1992

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