Osteotomy To Close Roof

Osteotomies consisting of medial intermediate and lateral are usually performed to close an open roof straighten a deviated nose or septum and narrow a wide bony nasal vault.

Osteotomy to close roof.

Complications of lateral osteotomy include. You may instead be given anesthesia in your spine leg or foot to numb the surgery area. 1 2 the surgeon has to make an accurate planned osteotomy which depends on the type of existing deformity. Lateral osteotomy is used to close a nasal dorsum open roof and to narrow or straighten the nasal pyramid.

We are going to focus on the osteotomies. You may be given general anesthesia to keep you asleep and free from pain during surgery. The remaining steps of rhinoplasty are beyond the scope of this communication. Notwithstanding the optimal method of nasal osteotomy remains controversial as evidenced by the variety of approaches with no consensus between authors.

The medial osteotomy should be used in cases of an extremely wide or deviated nose an iatrogenic open roof difficult to close with a lateral osteotomy an increased bony width above the infraorbital rim and in the presence of thicker nasal bones. In most patients a single lateral osteotomy reaches the expected result with excellent cosmetic outcome good stability and rapid healing. It allows the surgeon to narrow the nose to close the open roof created after hump removal and to achieve symmetry of an asymmetrical nasal bony framework. Medial osteotomies are generally difficult to perform and should be used judiciously.

Abstract lateral osteotomy is a particular step in rhinoplasty that aims to close an open roof deformity after hump reduction narrow the lateral walls of the nose and symmetrically align the nasal bony framework in cases with asymmetry. Lateral osteotomy is a very important step in a cosmetic rhinoplasty. Infection bleeding massive edema anosmia lacrimal duct injury intracranial injuries disfigured appearance narrow airway and nasal obstruction. This protocol is performed less often and is preferred for correction of a minor roof opening or mobilization of a moderately wide nasal base 5low to low osteotomy is more powerful as it results in more medial movement of the nasal bone 5therefore the low to low osteotomy is more widely used to correct a large open roof and excessively wide nasal base 5like the low to high approach this procedure also begins low along the piriform aperture and remains low all the way up to the inner canthus.

Lateral or base osteotomy lateral osteotomies were first implemented to close an open roof deformity narrow the bony base or lateral walls of the bony pyramid and straighten and correct asymmetric or deviated bony framework. Lateral osteotomies are completed in either a low to low or low to high fashion.