Lateral osteotomy in rhinoplasty

Abstract

The selection of technique and instrumentation in osteotomy is often the surgeon's preference and experience but must also depend on some factors like predictable control, precision, reproducibility, and association with minimal potential for complications. To accomplish a successful osteotomy, the surgeon must be able to mobilize the bones and to ensure stability after the surgery. Mobilization can be adequate if the fracture is complete. This can be done either by osteotome or manually. The anatomy, patient evaluation, types of osteotomies, and possible complications are discussed.