eMedicine Specialties > Plastic Surgery > Nose

Rhinoplasty, Osteotomies: Workup

Author: John A Grossman, MD, Emeritus Chairman, Instructor, Departments of Otolaryngology and Plastic Surgery, University of Colorado Rose Medical Center
Coauthor(s): Linda Li, MD, Consulting Staff, Department of Plastic Surgery, Hospital of the Good Samaritan
Contributor Information and Disclosures

Updated: Oct 7, 2008

Workup

Laboratory Studies

  • Every patient must undergo an appropriate and complete medical history and physical examination prior to rhinoplasty/osteotomy. The following laboratory tests should be included:
    • CBC
    • Urinalysis
    • Electrolytes
    • Electrocardiogram (for men >40 y and women >50 y, unless a history of hypertension, stroke, arrhythmia, diabetes, or smoking, or any other concerning reason, is present)
    • Pregnancy test in women of childbearing age
    • Human immunodeficiency virus (HIV), hepatitis B, and hepatitis C testing

Imaging Studies

  • Obtain a chest radiograph when none has been performed for more than 1 year, if the patient has a history of smoking or prior disease or if one is indicated by age.

More on Rhinoplasty, Osteotomies

Overview: Rhinoplasty, Osteotomies
Workup: Rhinoplasty, Osteotomies
Treatment: Rhinoplasty, Osteotomies
Follow-up: Rhinoplasty, Osteotomies
Multimedia: Rhinoplasty, Osteotomies
References
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References

  1. American Society of Plastic Surgeons. 2000/2006/2007 National Plastic Surgery Statistics. American Society of Plastic Surgeons Web site. Available at http://www.plasticsurgery.org/media/statistics/loader.cfm?url=/commonspot/security/getfile.cfm&PageID=29287. Accessed October 7, 2008.

  2. Oneal RM, Izenberg PH, Schlesinger J. Surgical anatomy of the nose. In: Daniel RK, ed. Rhinoplasty. 1993:27.

  3. Goodman WS, Gilbert RW. The anatomy of external rhinoplasty. Otolaryngol Clin North Am. Nov 1987;20(4):641-52. [Medline].

  4. Busca GP, Amasio ME, Sartoris A. [Complications of rhinoplasty]. Acta Otorhinolaryngol Ital. 1990;10 Suppl 31:1-37. [Medline].

  5. Cabouli JL, Guerrissi JO, Mileto A, Cerisola JA. Local infection following aesthetic rhinoplasty. Ann Plast Surg. Oct 1986;17(4):306-9. [Medline].

  6. Conrad K, Gillman G. Refining osteotomy techniques in rhinoplasty. J Otolaryngol. Feb 1998;27(1):1-9. [Medline].

  7. Giampapa VC, DiBernardo BE. Nasal osteotomy--utilizing dual plane reciprocating nasal saw blades: a 6-year follow-up. Ann Plast Surg. Jun 1993;30(6):500-2. [Medline].

  8. Goldfarb M, Gallups JM, Gerwin JM. Perforating osteotomies in rhinoplasty. Arch Otolaryngol Head Neck Surg. Jun 1993;119(6):624-7. [Medline].

  9. Harnick DB. A new and exact way to make an osteotomy at the nasofrontal bone junction [letter]. Plast Reconstr Surg. Nov 1993;92(6):1201-2. [Medline].

  10. Hunts JH, Patrinely JR, Stal S. Orbital hemorrhage during rhinoplasty. Ann Plast Surg. Dec 1996;37(6):618-23. [Medline].

  11. Isfendiyar MA. Intraoral versus intranasal approach to lateral osteotomy [letter; comment]. Plast Reconstr Surg. Oct 1993;92(5):984-5. [Medline].

  12. Kuran I, Ozcan H, Usta A, Bas L. Comparison of four different types of osteotomes for lateral osteotomy: a cadaver study. Aesthetic Plast Surg. Jul-Aug 1996;20(4):323-6. [Medline].

  13. Pontell J, Slavit DH, Kern EB. The role of outfracture in correcting post-rhinoplasty nasal obstruction. Ear Nose Throat J. Feb 1998;77(2):106-8, 111-2. [Medline].

  14. 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. Apr 1997;99(5):1309-12; discussion 1313. [Medline].

  15. Sullivan MJ, Krause CJ. Surgery of the bony and cartilaginous dorsum. Otolaryngol Clin North Am. Nov 1987;20(4):825-35. [Medline].

  16. Thomas JR, Griner N. The relationship of lateral osteotomies in rhinoplasty to the lacrimal drainage system. Otolaryngol Head Neck Surg. Mar 1986;94(3):362-7. [Medline].

  17. Thomas JR, Griner NR, Remmler DJ. Steps for a safer method of osteotomies in rhinoplasty. Laryngoscope. Jun 1987;97(6):746-7. [Medline].

  18. Trenite GJ. Trauma reduction in rhinoplastic surgery. Rhinology. Jun 1991;29(2):111-6. [Medline].

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Further Reading

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Keywords

rhinoplasty, osteotomies, osteotomy, fractures, infracture, outfracture, breaks, bony cuts, bone excision, cutting bone, nasal surgery, nose surgery, nasal bone, nasal fracture, nose job, nasal break

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Contributor Information and Disclosures

Author

John A Grossman, MD, Emeritus Chairman, Instructor, Departments of Otolaryngology and Plastic Surgery, University of Colorado Rose Medical Center
John A Grossman, MD is a member of the following medical societies: American Burn Association, American Medical Association, American Society for Aesthetic Plastic Surgery, American Society for Laser Medicine and Surgery, American Society of Plastic Surgeons, Colorado Medical Society, Lipoplasty Society of North America, and Pan-Pacific Surgical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Linda Li, MD, Consulting Staff, Department of Plastic Surgery, Hospital of the Good Samaritan
Linda Li, MD is a member of the following medical societies: American Society of Plastic Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Frederick J Menick, MD, Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Arizona College of Medicine; Private Practice in Tucson, Arizona
Frederick J Menick, MD is a member of the following medical societies: American Association of Plastic Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Plastic and Reconstructive Surgery, American Society of Plastic Surgeons, and Canadian Society of Plastic Surgeons
Disclosure: none None None

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

George Peck, Jr, MD, Consulting Staff, Department of Plastic Surgery, St Barnabas Hospital of New Jersey
George Peck, Jr, MD is a member of the following medical societies: American Society for Aesthetic Plastic Surgery
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Practice Director, Colorado Plastic Surgery Center at Swedish Medical Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Al Aly, MD, FACS, Consulting Surgeon, Iowa City Plastic Surgery
Disclosure: Ethicon  Consulting fee Consulting; QMP Royalty Book royalty; Insorb Stapler Consulting fee Consulting; Insorb Stapler Ownership interest None; Medicis Intellectual property rights None

 
 
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