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Home » Table of Contents » Bony Vault/Nasal Dorsum

Bony Vault/Nasal Dorsum

Rhinoplasty: Bony Vault Surgery with Piezoelectric Instruments

by George Mireas, MD, PhD on 10/13/2020

Abstract Bony vault management is a particularly demanding aspect of rhinoplasty and is a common reason for secondary surgery. From the late 19th century and for many decades the tool used were mechanical, including saws, rasps, chisels, scissors and osteotomes. Although they gradually improved, they were quite crude, imprecise and often hard to control when… [Read More]

Filed Under: Bony Vault/Nasal Dorsum, Table of Contents Tagged With: bone surgery, bony vault surgery, dorsal refinement, Greece, PEI, piezo, piezotome, rhinosculpture, ultrasonic

Ultrasonic Rhinoplasty. Osteotomies and Dorsum Refinement

by Pablo Casas-Rodera, MD and Rubén Perez Parra, MD on 02/10/2020

Abstract Management of the osseocartilaginous vault continues to present challenges for rhinoplasty surgeons. We need to search for an atraumatic method to reshape the nasal bones in the most precise way. The author’s preference in recent years has been to seek more control and precision in osteotomies and in dorsum refinement, so as to avoid… [Read More]

Filed Under: Bony Vault/Nasal Dorsum Tagged With: dorsal refinement, piezotome rhinoplasty, Spain, ultrasonic rhinoplasty, venezuela

Let Down Technique

by Fausto Lopez Úlloa, MD and Elizabeth Jasso Ramírez, MD on 01/10/2020

Abstract Rhinoplasty is one of the most common surgeries performed in the world, usually with cosmetics concerns. It is important to treat the nose as a functional unit, avoiding to separate aesthetics from function.  The main goal in preservation Rhinoplasty techniques is to eliminate the dorsal hump while conserving the key stone area intact. This… [Read More]

Filed Under: Bony Vault/Nasal Dorsum Tagged With: Dorsal hump, Preservation Rhinoplasty, Rhinoplasty

Powered Instrumentation for Rhinoplasty and Septoplasty

by Daniel G. Becker, MD on 10/24/2017

Daniel G. Becker, MD, Stephen S. Park, MD, FACS, and Dean M. Toriumi, MD Advances in instrument design are guided by the desire to achieve a surgical maneuver more efficaciously and accurately, such as through the use of finer rasps and smaller osteotomes. Powered instrumentation is introduced to improve precision and technical ease while minimizing… [Read More]

Filed Under: Bony Vault/Nasal Dorsum, Rhinoplasty Fundamentals, Septal Surgery

Let Down Technique

by Fausto Lopez Úlloa, MD on 07/29/2011

Introduction The nose should be considered as a functional unit, one of the elements of this concept being the form. We should never try to separate these two concepts, since form is function. Nasal structures should not be evaluated or handled in isolation from each other; any modification of one of the structures will have… [Read More]

Filed Under: Bony Vault/Nasal Dorsum Tagged With: Let Down Technique, nose

Dorsal Hump Reduction and Osteotomies

by F. Bierenbroodspot, MD, Koen J. A. O. Ingels, MD, PhD, Stefaan Bergé, MD, PhD, DMD and Niels van Heerbeek, MD, PhD on 07/24/2011

The Overprojected Nasal Dorsum Introduction The nasal dorsum plays an important role in the aesthetic evaluation of the nose and the face as a whole. The upper two thirds of the nose is formed by the bony and cartilaginous dorsum. This chapter will attribute to the overprojected nasal dorsum both the bony and cartilaginous part,… [Read More]

Filed Under: Bony Vault/Nasal Dorsum

Narrowing of the nasal dorsum without hump reduction

by Behrooz Torkian, MD on 07/23/2011

Introduction: The nasal dorsum is often narrowed during rhinoplasty as a result of open roof closure following reduction of the nasal dorsum. In the presence of an open roof, medial and lateral osteotomies, or lateral osteotomies alone, allow medial displacement of the nasal bones into the newly created paramedian space of the open roof. The… [Read More]

Filed Under: Bony Vault/Nasal Dorsum

Lecture On Osteotomies

by Daniel G. Becker, MD on 07/21/2011

Welcome to the 6th PENN Rhinoplasty Course. It is nice to have you all here at our course, which for the first time we are having here in the Chelsea Hotel in Atlantic City. My co-course directors are Dr. Ara Chalian and Dr. Stephen Goldstein, and we would like to welcome you all. As you… [Read More]

Filed Under: Bony Vault/Nasal Dorsum Tagged With: cartilage, Rhinoplasty, USA

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