Can percutaneous osteotomies fix crooked nasal bones? (Photo)

Question

Hello, I was just wondering if percutaneous osteotomies could fix a broken nose that didn't get reset. I'm kinda scared of the incisions inside the nostrils with the closed rhinoplasty approach and discovered that percutaneous osteotomies existed but I don't know if this approach can fix my problem. Thank you so much.

Eric M. Joseph, MD · Answer

In general, when osteotomies are necessary to straighten a crooked nasal appearance, the incisions are made inside of the nasal vestibule. Percutaneous osteotomies may be used to move a small fragment of stubborn bone. I believe intranasal osteotomies are best for nasal realignment. Thank you for your question. Sincerely, Dr. Joseph

Tanveer Janjua, MD · Answer

Percutaneous osteotomies alone are not likely to straighten a nose. The overlying skin and soft tissue envelope has to be mobilized as well. You are better off with the normal closed or open approach to do it properly.
Regards
Dr. J

Ronald J. Edelson, MD · Answer

Many surgeons , including myself, use percutameous osteomtomies  in rhinoplasty. I find it more precise than going intranasal

Thomas J. Walker, MD, FACS · Answer

The type of osteotomy is irrelevant if properly executed. Percutaneous or transnasal are both effective. Transnasal osteotomies do NOT require the incisions from an endonasal rhinoplasty either. Don't focus on the technique as much as on the result.

Best wishes,
Thomas Walker, MD, FACS
470-900-3223 (FACE)

Best wishes,
Thomas Walker, MD, FACS
470-900-3223 (FACE)

Neil Tanna, MD, FACS · Answer

Osteotomies can absoultely be used to correct a deviated nose. There are great for crooked nasal bones. They can be performed-endonasal (internal)or -percutaneous (external)

Mats Hagstrom, MD (license on probation) · Answer

The best time to reduce and so fracture is before the bones heal in the wrong position.
If someone didn’t get the fracture reduced early after the injury, then the bones will need to be refractured.
To do this with good and atomic alignment requires having control over the fraction line.
 Plastic surgeons will weaken the nasal bone in the desired location so that the fracture line is predictable.
Simply pressing on the nose until the bones break. Virtually eliminates control over where the fracture line occurs.
I don’t think most plastic surgeons would recommend doing this, unless it is during the early course before the bones are healed, in which case it is the standard of care.
Best,
Mats Hagstrom, MD

Can percutaneous osteotomies fix crooked nasal bones? (Photo)

Answers (6)

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