AI Article Synopsis

  • Osteotomies play a crucial role in nasal dorsum treatment by plastic surgeons, but there are concerns about potential complications like medialization of the inferior turbinate and narrowing of the internal nasal valve.
  • The study analyzed the effects of very low-to-low lateral osteotomies on the inferior turbinates in 37 patients who underwent primary rhinoplasty, utilizing preoperative and six-month postoperative CT scans for comparison.
  • Results indicated no significant changes in the measurements of the inferior turbinate's osseous bases after surgery, suggesting that low-to-low osteotomies do not negatively affect the nasal anatomy in the ways previously feared.

Article Abstract

Background: Osteotomies are important maneuvers in the plastic surgeon's arsenal for the nasal dorsum treatment. However, there is a concern regarding a possible medialization of the inferior turbinate's heads and narrowing of the internal nasal valve if the Webster's triangle is not preserved.

Objectives: To analyze the mobilization of the inferior turbinates during primary rhinoplasty after lateral osteotomies.

Methods: This is a retrospective study in which we analyzed 37 patients who underwent very low-to-low osteotomies in our service, during primary rhinoplasties. Axial and coronal computed tomography scans were obtained, and preoperative and 6 months postoperative images were compared with Radiant DICOM Viewer software (Medixant, Poznan, Poland) in 3-dimensional multiplanar reconstruction.

Results: There were no statistically significant differences between preoperative and postoperative measurements of the lower turbinate's osseous bases, both in axial ( = .305) and coronal ( = .08) images.

Conclusions: Low-to-low osteotomies showed no medialization of the inferior turbinate's heads or narrowing of the internal nasal valve in this study.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11532800PMC
http://dx.doi.org/10.1093/asjof/ojae079DOI Listing

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Article Synopsis
  • Osteotomies play a crucial role in nasal dorsum treatment by plastic surgeons, but there are concerns about potential complications like medialization of the inferior turbinate and narrowing of the internal nasal valve.
  • The study analyzed the effects of very low-to-low lateral osteotomies on the inferior turbinates in 37 patients who underwent primary rhinoplasty, utilizing preoperative and six-month postoperative CT scans for comparison.
  • Results indicated no significant changes in the measurements of the inferior turbinate's osseous bases after surgery, suggesting that low-to-low osteotomies do not negatively affect the nasal anatomy in the ways previously feared.
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Airflow Considerations and the Effect of Webster's Triangle in Reduction Rhinoplasty.

Aesthetic Plast Surg

October 2021

Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Background: Reduction rhinoplasties, regardless of the methods used (structural or preservation), can cause a reduction in the internal nasal volume, which may lead to breathing problems. In 1977, Webster proposed preserving a little triangle in the beginning of the lower lateral osteotomy line to prevent breathing problem. However, its importance is still controversial.

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Purpose: The periorbital area undergoes a series of postoperative sequelae after rhinoplasty.

Patients And Methods: Between January 2015 and January 2016, 50 patients aged between 19 and 46 years who underwent rhinoplasty qualified for the study. Of these patients, 25 were chosen for each group: One group underwent a low-to-low lateral nasal osteotomy, and the other group underwent a low-to-high lateral nasal osteotomy.

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The crooked nose is certainly among the most difficult to treat deformities for rhinoplasty surgeons. This deformity is a complex problem because each structural nasal component can be effected and they may be asymmetric bilaterally. Despite the use of sophisticated techniques and an additional effort, unfortunately the long-term aesthetic results may not be perfect with some minor flaws.

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Objective: To better understand the potential effects after corticotomy accelerated osteogenic orthodontic treatment (CAOOT).

Setting And Sample Population: Systematic review with meta-analysis.

Materials And Methods: A literature search up to August 2018 was conducted to identify randomized clinical studies (RCTs) on CAOOT reporting periodontal parameters, bone changes, patient-centred and short- and long-term adverse outcomes.

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