Lateral Osteotomy for the Surgical Treatment of the Asian Wide Nose

Jinsong Zhang, Aihong Chen, Ye Liu, Tanja Herrler, Baofu Yu, Linsen Fang, Fei Zhu, Xiaojing Li, Chuanchang Dai, Jiao Wei

    Research output: Contribution to journalOriginal Article (Journal)peer-review

    Abstract

    OBJECTIVE: Narrowing of the nasal dorsum allows for a more pleasing moderate width. We here introduce a lateral osteotomy technique that is less traumatic and easier to perform than commonly used procedures in Asian and share our experiences in the application.

    METHODS: After a blunt dissection of the periosteum at the mucosal side of the nasal bone, all patients who underwent treatment using nasal osteotomy at the level of the maxillary nasal process were retrospectively analyzed. The bony nasal width, height, and the nasal lateral wall slope of bone before and after surgery were measured. The postoperative outcomes, complications, and patient satisfaction were analyzed and evaluated.

    RESULTS: From January 2008 to January 2018, nasal dorsum narrowing was implemented in 106 patients. On average, nasal width was significantly decreased and no change in nose height after the nasal osteotomy. The nasal width was significantly reduced by 8.51 ± 2.16 mm compared with before surgery. The slope of the nasal lateral wall was reduced from the mean of 155.0 ± 7.63-degree preoperation to the mean of 135.25 ± 7.50-degree postoperation. The follow-up period ranged from 6 months to 4 years, with an average of 10.3 months.

    CONCLUSIONS: This type of nasal bone base osteotomy is a simple and feasible method for the treatment of wide Asian noses with a high patient acceptance and stable postoperative results.

    LEVEL OF EVIDENCE: Level IV.

    Original languageEnglish
    Pages (from-to)2475-2478
    Number of pages4
    JournalJOURNAL OF CRANIOFACIAL SURGERY
    Volume34
    Issue number8
    DOIs
    Publication statusPublished - 28 Aug 2023

    Keywords

    • Humans
    • Rhinoplasty/methods
    • Retrospective Studies
    • Nose/surgery
    • Nasal Bone/surgery
    • Osteotomy/methods

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