Rhinoplasty: a sequential approach to the management of nasal bony vault

Zholtikov V.V.

Atribeaute Clinic

Golovatinsky V.V.

Atribeaute Clinic

Palhazi P.

Atribeaute Clinic

Gerbault O.

Atribeaute Clinic

Daniel R.K.

Atribeaute Clinic

Ouerghi R.

Atribeaute Clinic

Rhinoplasty: a sequential approach to the management of nasal bony vault

Authors:

Zholtikov V.V., Golovatinsky V.V., Palhazi P., Gerbault O., Daniel R.K., Ouerghi R.

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Journal: Plastic Surgery and Aesthetic Medicine. 2020;(3): 25‑37

DOI: 10.17116/plast.hirurgia202003125

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To cite this article:

Zholtikov VV, Golovatinsky VV, Palhazi P, Gerbault O, Daniel RK, Ouerghi R. Rhinoplasty: a sequential approach to the management of nasal bony vault. Plastic Surgery and Aesthetic Medicine. 2020;(3):25‑37. (In Russ.)
https://doi.org/10.17116/plast.hirurgia202003125

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OBJECTIVE

To develop a rhinoplasty technique with preserved nasal bony vault stability using piezoelectric devices and rhinosculpture alone and in combination with various osteotomies.

MATERIAL AND METHODS

We used a step-by-step algorithm depending on severity of bone pyramid asymmetry. In all cases, open approach was preferred due to large visualization area during all stages associated with correction of the bony vault. Rhinosculpture alone and in combination with various osteotomies was performed to stabilize the nasal bones.

RESULTS

There were 300 rhinoplasty surgeries for the period from December 2016 to December 2019 (36 months). Patients were divided into 5 groups depending on the algorithm for treating the bone pyramid. The last one directly depended on severity of bone vault asymmetry.

CONCLUSION

The proposed technique limits mobility of nasal bony vault. Therefore, nasal vault stability in short- and long-term period is associated with improved aesthetic and functional outcomes.

Keywords:

rhinoplasty

rhinosculpture

piezoelectric instruments

osteotomy

nasal bony vault

Authors:

Zholtikov V.V.

Atribeaute Clinic

Golovatinsky V.V.

Atribeaute Clinic

Palhazi P.

Atribeaute Clinic

Gerbault O.

Atribeaute Clinic

Daniel R.K.

Atribeaute Clinic

Ouerghi R.

Atribeaute Clinic

Received:

27.04.2020

Accepted:

17.05.0202

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