Academic Activity

[2007.11.08] Correcting a Wide Nose with Osteotomy

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Conference: 63rd Annual Meeting of the Korean Society of Plastic and Reconstructive Surgeons
Date: November 8–10, 2007
Venue: Grand Hilton Hotel

Presentation:
At the 63rd Annual Meeting of the Korean Society of Plastic and Reconstructive Surgeons, held at the Grand Hilton Hotel, Dr. Myung-Ju Lee presented on “Correcting a Wide Nose Using a New Leaping Osteotomy Technique.”

Summary:
Dr. Lee explained that osteotomy is a highly effective technique in rhinoplasty, particularly for narrowing a wide nose or correcting a deviated nasal bridge. While lateral osteotomy is commonly performed, it has several limitations, prompting exploration of alternative methods.

  • Traditional Transcutaneous (Through-the-Skin) Osteotomy:

    • May leave visible scars
    • Limited mobility for repositioning the nasal bone
  • Intranasal Osteotomy:

    • Risk of mucosal damage
    • Difficult to maneuver in the thick nasal root region

To overcome these challenges, Dr. Lee utilized a 3 mm straight osteotome to perform a new intranasal lateral osteotomy. Beginning from the outside and transitioning the osteotomy line upward and inward—akin to a “leap”—this approach helps avoid mucosal injury and provides greater precision in directing the osteotomy. Dr. Lee reported successful outcomes using this modified technique.






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