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Medial Osteoectomy as a Routine Procedure in Rhinoplasty: Six-Year Experience with an Innovative Technique.

Abstract：

BACKGROUND:Medial osteotomy is an integral part of most rhinoplasty procedures, and when improperly performed, it is associated with postoperative complications and nasal contour deformities. In this article, we present a minimally traumatic and easy-to-perform medial osteoectomy technique with a pair of pliers, as a routine procedure, instead of the traditional medial osteotomy with osteotome and hammer. We report our experience with the use of the technique in a series of rhinoplasty procedures and review in brief the existing literature. METHODS:One hundred and thirty-five patients underwent rhinoplasty operations to correct aesthetic nose deformities, with the use of the suggested surgical technique. Two different types of medial osteoectomy, performed with the pliers, were used: Type I for dorsal nasal hump reduction and slight narrowing of the nose and type II for the management of a wide nasal dorsum along with or without hump removal. RESULTS:Postoperative results were favorable, by both clinical examination and comparison of preoperative and postoperative photographs, in 98.5% of patients. Only two patients with wide nasal dorsums had inadequate narrowing of their broad nose and underwent successful revision surgery. CONCLUSIONS:The suggested technique is easy to perform, has a short learning curve, provides high accuracy over the location and amount of the nasal bone to be removed, but inflicts minimal trauma. As a result of the aforementioned advantages, the risk of postoperative complications is low, and most importantly, reliable, consistent, and aesthetically pleasing results are easily ensured. LEVEL OF EVIDENCE IV:This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

journal_name

Aesthetic Plast Surg

journal_title

Aesthetic plastic surgery

authors

Lykoudis EG,Peristeri DV,Lykoudis GE,Oikonomou GA

doi

10.1007/s00266-017-0954-4

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

256-263

issue

eissn

0364-216X

issn

1432-5241

pii

10.1007/s00266-017-0954-4

journal_volume

pub_type

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Medial Osteoectomy as a Routine Procedure in Rhinoplasty: Six-Year Experience with an Innovative Technique.