Title and Copyright: Inside-Out Lateral Osteotomy, ©2002. Media: Pen and ink illustration finished in Adobe Photoshop. Collaborator: Peter Hilger, MD, and Patrick Byrne, MD; Department of Facial Plastic and Reconstructive Surgery, University of Minnesota; Minneapolis, Minnesota. Description: (A) Preoperative view of the patient’s nasal deformity. (B) Underlying anatomic abnormality. (C) Inferior-oblique view of the underlying anatomic abnormality. (D) Inside-out lateral osteotomy technique using a 2mm straight osteotome, which results in a laterally displaced bony nasal wall. This improves the dimension of the nasal airway and preserves mucosa and periosteum. (E) Lateral osteotomy technique using a curved osteotome may result in an inwardly displaced bony nasal wall. This may result in collapse of the nasal airway and disrupt the periosteum and mucosa. Published as: Byrne PJ, Walsh WE, Hilger PA. The use of "inside-out" lateral osteotomies to improve outcome in rhinoplasty. Arch Facial Plast Surg 2003;5:251-5.
©2002 William Walsh, All Rights Reserved.