No Osteotomy Rhinoplasty: Indications and Surgical Details

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. When the only reason for performing lateral osteotomy is to close an open roof, this can be avoided by using auto spreader flaps. In component hump reduction, the entire length of the upper lateral cartilage is preserved, including the portion under the nasal bone bilaterally. The basic principles involve suturing the flaps in the midline with a modified technique and supporting the lateral nasal walls with onlay cartilage grafts. This method was used for 34 patients. The lack of lateral wall support was obvious in one of the patients. With precise indications and a well-designed surgery, can be achieved. Further studies with more patients and a longer follow-up period are needed to determine the accuracy of this philosophy.

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