Erişir Ferhat, Tahamiler Rauf
Department of Otolaryngology, Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey.
Aesthet Surg J. 2008 Sep-Oct;28(5):518-20. doi: 10.1016/j.asj.2008.07.007.
Osteotomies are required to mobilize the bony pyramid for infracture, outfracture, or realignment. Using traditional techniques and instruments, mobilization of the bony pyramid often results in serious edema and ecchymosis.
The authors evaluate how the use of micro-osteotomes in lateral osteotomy influence postoperative healing.
A series of 36 rhinoplasties were evaluated to determine the postoperative effect on edema and ecchymosis of micro-osteotomes used in the lateral osteotomy. In the last stage of the operation, right lateral osteotomy was performed with a 2-mm, V-shaped osteotome and left lateral osteotomy with a 4-mm straight Cottle osteotome. Patients were assessed based on postoperative photos taken after 24 and 48 hours.
There was a marked reduction in edema and ecchymosis in the micro-osteotome series compared with the series in which a 4-mm straight Cottle osteotome was used.
2-mm V-shaped osteotomes reduce postoperative edema and ecchymosis and can be maneuvered cephalically to the medial oblique osteotomy with the best cosmetic results.
为使骨锥体进行骨折块嵌入、骨折块移位或重新排列，需要进行截骨术。使用传统技术和器械时，骨锥体的移动常导致严重的水肿和瘀斑。
作者评估在外侧截骨术中使用微型骨凿如何影响术后愈合。
评估一系列36例鼻整形术，以确定外侧截骨术中使用微型骨凿对水肿和瘀斑的术后影响。在手术的最后阶段，使用2毫米的V形骨凿进行右侧外侧截骨术，使用4毫米的直形科特尔骨凿进行左侧外侧截骨术。根据术后24小时和48小时拍摄的照片对患者进行评估。
与使用4毫米直形科特尔骨凿的系列相比，微型骨凿系列中的水肿和瘀斑明显减少。
2毫米的V形骨凿可减少术后水肿和瘀斑，并且可以向头侧操作至内侧斜行截骨术，获得最佳的美容效果。
