Nasal Skeleton Research Articles

The transverse osteotomy: a new rhinoplastic technique.

The classical rhinoplasty operation as described by Joseph has been subject to many modifications in the past few years. New procedures and instruments have been introduced which have improved our handling of the cartilaginous portions of the nose. However, no satisfactory technique has as yet been described for narrowing the bony frame-work without the ever-present danger of comminuting or splintering the nasal bones. A study of the anatomy of the uppermost portion of the nasal skeleton will reveal the inadequacy of our present-day technique. In this region the nasal bone and frontal process of the maxilla attach to the pars nasalis of the frontal bone and are supported on their underneath surfaces by the thick frontal spine, forming one solid plate of bone. This thick plate of bone forms the anterior, or ventral, portion of the nasal skeleton. The thickness of the nasal bones diminishes posteriorly, so that they

Management of recent nasal fractures.

ONE CANNOT do a number of rhinoplasties without being forced to question the soundness of the management of recent nasal fractures. We believe that many difficult nasal reconstructions, tedious submucous resections, and extensive scar excisions could have been avoided had the proper treatment been instituted at the time of injury. Since the main respiratory current passes just beneath the dorsal arch, 1 and the nasal skeleton is practically subcutaneous, 2 even slight malalinements resulting from inaccuracies in reduction, such as unlocked fragments of bone, displaced spicules, or overriding bone edges—considered negligible in most fractures —may here cause serious impairment of function and conspicuous deformity. 3 Through sad experience we have learned that to attempt a correction by blind reduction, using force in reverse of that which caused the fracture, often serves merely to aggravate the damage. 4 For instance, in fractures with lateral deviations, force applied to the side of

I. The Formation of a New Nasal Skeleton from the Frontal Bone

I. The Formation of a New Nasal Skeleton from the Frontal Bone