Customized Lateral Nasal Osteotomy Guide: Three-Dimensional Printer Assisted Fabrication

Seied Omid Keyhan, Alireza Navabazam, Mohammad Mahdi Nasiri, Sina Ghanean, Kazem Khiabani



Lateral osteotomy is a necessity in several rhinoplasty cases. However, it can be challenging for inexperienced surgeons to perform external osteotomy due to difficulties such as lack of control, inconsistent results and technical complications. The present article presents a simplified approach for external lateral nasal osteotomy by using a customized lateral nasal osteotomy guide fabricated with three-dimensional printer. This technique may assist novice surgeons to perform external lateral nasal osteotomy more safely and with reduced operation time and consistent outcomes.


Osteotomy; Rhinoplasty; Three-Dimensional Printing

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Angelos PC, Been MJ, Toriumi DM. Contemporary review of rhinoplasty. Arch Facial Plast Surg. 2012;14(4):238-47.

Pourdanesh F, Khojasteh A. A Composite Buccal Flap for Alar Based Defect Reconstruction: A Technical Note. J Dent (Tehran). 2011;8(4):209.

Figure 2. Performing the lateral nasal osteotomy in line with the surgical plan

Guyuron B. Nasal osteotomy and airway changes. Plast Reconstr Surg. 1998;102(3):856-60; discussion 61-3.

Rohrich R, Shemshadi H, editors. Rhinoplasty: Dorsal reduction and osteotomies. Dallas Rhinoplasty Symp; 1995.

MURAKAMI G, Larrabee WF. Comparison of osteotomy techniques in the treatment of nasal fractures. Facial plastic surgery. 1992;8(4):209-19.

Parkes ML, Borowiecki B, Binder W. Functional sequelae of rhinoplasty. Ann Plast Surg. 1980;4(2):116-20.

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. 1997;99(5):1309-12; discussion 13.

Varedi P, Shirani G, Bohluli B, Besharati R, Keyhan SO. A simplified approach to the external lateral nasal osteotomy: a technical note. J Oral Maxillofac Surg. 2013;71(8):1435-8.

Kienstra MA, Sherris DA, Kern EB. Osteotomy and pyramid modification in the Joseph and Cottle rhinoplasty. Facial Plast Surg Clin North Am. 1999;7:279-94.

Webster RC, Davidson TM, Smith RC. Curved lateral osteotomy for airway protection in rhinoplasty. Arch Otolaryngol. 1977;103(8):454-8.

Hilger JA. The internal lateral osteotomy in rhinoplasty. Arch Otolaryngol. 1968;88(2):211-2.

Mehra P, Miner J, D’Innocenzo R, Nadershah M. Use of 3-d stereolithographic models in oral and maxillofacial surgery. J Maxillofac Oral Surg. 2011;10(1):6-13.

Cunningham LL, Madsen MJ, Peterson G. Stereolithographic modeling technology applied to tumor resection. J Oral Maxillofac Surg. 2005;63(6):873-8.



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