Introduction: Rhinoplasty is challenging procedure as its
one of the aesthetic procedures where the patient and all his
acquaintances are constantly seeing and judging the plastic
surgeon outcome. Osteotomy is one of the most crucial steps;
in order to have good results; it is needed to narrow nasal
width. Osteotomy is also one of the difficult steps in rhinoplasty
as it is blind and meticulous [1].
Material and Methods: Retrospective study from 2010
to 2014, including 450 patients. Pre-operative data were
documented and tabulated. Intraoperative data were documented
and tabulated. Post-operative data were documented
and tabulated. Follow-up for 6 months and evaluation sheet
was filled. 200 patients complied to follow-up, the rest (250
patient) were excluded from the study. Comparative evaluation
of the resultswas done and statistically analyzed.
Results: 13% (26 cases) was total complication rate.
Complication varied from;asymmetry: 4.5%, residual hump:
6%, nasal bone collapse: 2%, extensive displacement: 0.5%.
Conclusion: Osteotomy is one of the most crucial steps
in rhinoplasty. In this study we did retrospective analysis of
450 rhinoplasty patients and their osteotomy results. Weconcluded
that lateral green stick osteotomy with or without
median osteotomy is the safest osteotomy.