Osteotomy Rhinoplasty Workup

  • Author: John A Grossman, MD; Chief Editor: John R Taylor, MD, FRCSC, FACS   more...
 
Updated: Nov 29, 2011
 

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
Next

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.
Previous
Proceed to Treatment & Management
 
 
Contributor Information and Disclosures
Author

John A Grossman, MD  Clinical Instructor of Plastic Surgery, University of Colorado Health Sciences Center; Private Practice, Plastic and Reconstructive Surgery

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.

Specialty Editor Board

Frederick J Menick, MD  Chief, Division of Plastic Surgery, St. Joseph's Hospital; Clinical Associate Professor, Department of Surgery, Division of Plastic Surgery, University of Arizona College of Medicine; Facial and Nasal Reconstructive Surgeon, 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 Maxillofacial Surgeons, American Society of Plastic Surgeons, and Canadian Society of Plastic Surgeons

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

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.

Nicolas (Nick) G Slenkovich, MD  Director, Colorado Plastic Surgery 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

John R Taylor, MD, FRCSC, FACS  Independent Practice, Ontario

John R Taylor, MD, FRCSC, FACS is a member of the following medical societies: American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Canadian Medical Association, and Canadian Society of Plastic Surgeons

Disclosure: Nothing to disclose.

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. van Loon B, van Heerbeek N, Maal TJ, Borstlap WA, Ingels KJ, Schols JG, et al. Postoperative volume increase of facial soft tissue after percutaneous versus endonasal osteotomy technique in rhinoplasty using 3D stereophotogrammetry. Rhinology. Mar 2011;49(1):121-6. [Medline].

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

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

  7. Cerkes N. The crooked nose: principles of treatment. Aesthet Surg J. Feb 2011;31(2):241-57. [Medline].

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

  9. 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].

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

  11. 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].

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

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

  14. 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].

  15. 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].

  16. 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].

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

  18. 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].

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

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

 
Previous
Next
 
Medial osteotomy being performed during rhinoplasty.
Percutaneous lateral osteotomy.
Lateral osteotomy via piriform aperture.
Nasal bones as seen in skeleton.
Another view of nasal bones.
Nasal bones with outline of medial and lateral osteotomies.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2012 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.