How far up can an osteotomy go to fix a nose fracture?

Osteotomies are commonly done with rhinoplasty and there are several variations used. Each surgeon will answer that a little differently especially when considering each individual situation

Hello,
Osteotomies can certainly be performed to straighten someone's nose after trauma. There are multiple types of osteotomies depending on which part of the nasal bone is trying to be moved. In a lateral osteotomy, the part of the nasal bone between the bridge of nose and the face is fractured. Typically this osteotomy does not go higher than the inside corner of the eye as this can detach tendons that support the eyelid.
In a medial osteotomy, the part of the bone along the nasal bridge is fractured. This osteotomy typically goes to the junction between the nasal bone and the frontal bone.

Medial and lateral osteotomy's Are performed up into the frontal recess bone in order to manually reset the nasal fracture. When the upper lateral cartilages have been fractured off the nasal bones, a placement of a cartilage spreader graft is necessary on the concave side. Most significant nasal fractures also have a deviated septum component blocking airflow, so make sure you don't need a septoplasty. Straightening the crooked nose is a very difficult endeavor, so choose your surgeon wisely based on extensive experience

Hi and welcome to our forum!
During open reduction of a nasal fracture, the lateral osteotomies are carried out along the bone's entire length from the nasal root (radix) to the lateral cartilages. It is important to create a single sheet of bone without comminution to prevent residual deformity.
Best wishes...