Lykoudis EG, et al. – In this article, authors here presented a minimally traumatic and easy–to–perform medial osteoectomy technique with a pair of pliers, as a routine procedure, instead of the traditional medial osteotomy with osteotome and hammer. They identified this technique as easy to perform. The technique had a short learning curve, provided high accuracy over the location and amount of the nasal bone to be removed, but inflicts minimal trauma. As a result of the aforementioned advantages, the risk of postoperative complications was low, and most importantly, reliable, consistent, and aesthetically pleasing results were easily ensured.

Methods

• Rhinoplasty operations were performed on 135 patients to correct aesthetic nose deformities, with the use of the suggested surgical technique.
• Authors used two different types of medial osteoectomy, performed with the pliers: Type I for dorsal nasal hump reduction and slight narrowing of the nose and type II for the management of a wide nasal dorsum along with or without hump removal.

Results

• Both clinical examination and comparison of preoperative and postoperative photographs identified favorable postoperative results in 98.5% of patients.
• There were only two patients with wide nasal dorsums who had inadequate narrowing of their broad nose and underwent successful revision surgery.