Repeat osteotomy for a wide/splayed bone on one side only. Is it reasonable to believe a third attempt can correct it?
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Doctor Answers 5
Third attempt at osteotomy
Best of luck.
Crooked after multiple osteotomy
The surgeon should look for this spicule of bone,and remove it. Perhaps an out fracture is needed first, the bone piece removed and then the nasal bones pressed together.
Osteotomy Procedure for Straightening Nose
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Revision rhinoplasty for osteotomies
It is possible but it's like a riddle
I believe that the main cause of lack of mobilisation of the bone is the residual tissues (scar, bone fragment, cartilage, spreader graft?) resting in the midline of the bony hump area, preventing the adequate approximation of the nasal bones.
The right approach probably would be to elevate the tissues (possible with closed technique) again, then remove what sits between the bones to create a free space for mobilisation of bones towards midline.
In such a scenario it is doable. But there might be some other causes. At this point closer investigation should be mandatory.
Could guess more by the pictures though.
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