Facial Plast Surg 2012; 28(03): 303-309
DOI: 10.1055/s-0032-1312698
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Rhinoplasty and Bony Vault Complications

Paul Nassif
1   Assistant Clinical Professor, Department of Otolaryngology, University of California, Los Angeles, California
2   Partner, Spalding Drive Cosmetic Surgery and Dermatology, Beverly Hills, California
,
Joanathan Kulbersh
3   Carolina Facial Plastics PLLC, Facial Plastic Surgery, Charlotte, North Carolina
› Author Affiliations
Further Information

Publication History

Publication Date:
21 June 2012 (online)

Abstract

Complications of bony nasal vault surgery can be avoided with a thorough preoperative assessment of the nasal anatomy and meticulous surgical technique. When complications arise, it is imperative to identify the irregularity and undertake the corrective measures. This article highlights possible complications of bony nasal vault surgery and their etiologies, appearances, and management.

 
  • References

  • 1 Stal S, Oneil RM. Evaluation and surgical approach to the osseo cartilaginous vault. In: Gunter JP, Rohrich RJ, Adams WP, eds. Dallas Rhinoplasty. St. Louis, MO: Quality Medical Publishing; 2002: 441-470
  • 2 Becker DG. Complications in rhinoplasty. In: Papel I, Frodel J, Holt GR, , et al, eds. Facial Plastic and Reconstructive Surgery. New York: Thieme; 2008: 639-649
  • 3 Wang TD, Leong PL. Osteotomies and management of the middle vault in rhinoplasty. In: Thomas JR, ed. Advanced Therapy in Facial Plastic and Reconstructive Surgery. Shelton, CT: People's Medical Publishing House; 2010: 253-259
  • 4 Harshbarger RJ, Sullivan PK. The optimal medial osteotomy: a study of nasal bone thickness and fracture patterns. Plast Reconstr Surg 2001; 108: 2114-2119 ; discussion 2120–2121
  • 5 Tardy ME, Thomas RT. Rhinoplasty. In: Flint PW, Haughey BH, , et al. Cummings Otolaryngology-Head and Neck Surgery. Philadelphia: Elsevier; 2010: 508-545
  • 6 Zoumalan RA, Shah AR, Constantinides M. Quantitative comparison between microperforating osteotomies and continuous lateral osteotomies in rhinoplasty. Arch Facial Plast Surg 2010; 12: 92-96
  • 7 Rohrich RJ, Minoli JJ, Adams WP, Hollier LH. The lateral nasal osteotomy in rhinoplasty: an anatomic endoscopic comparison of the external versus the internal approach. Plast Reconstr Surg 1997; 99: 1309-1312 ; discussion 1313
  • 8 Murakami CS, Larrabee WF. Comparison of osteotomy techniques in the treatment of nasal fractures. Facial Plast Surg 1992; 8: 209-219
  • 9 Gryskiewicz JM, Gryskiewicz KM. Nasal osteotomies: a clinical comparison of the perforating methods versus the continuous technique. Plast Reconstr Surg 2004; 113: 1445-1456 ; discussion 1457–1458
  • 10 Becker DG, McLaughlin Jr RB, Loevner LA, Mang A. The lateral osteotomy in rhinoplasty: clinical and radiographic rationale for osteotome selection. Plast Reconstr Surg 2000; 105: 1806-1816 ; discussion 1817–1819
  • 11 Gunter JP, Rohrich RJ, Adams WP. Dallas Rhinoplasty. St. Louis, MO: Quality Medical; 2002: 1066-1067