Percutaneous root osteotomy for correction of the deviated nose

Background: This study describes the use of percutaneous root osteotomy near the intercanthal level for correction of deviated noses. This procedure provides complete mobilization of the midline bony septum. The study analyzed outcomes in patients undergoing this procedure. Methods: The study retrospectively reviewed 50 patients who underwent corrective rhinoplasty involving a percutaneous root osteotomy. Two independent rhinoplastic surgeons assessed treatment outcomes by comparing pre- and postoperative photographs. Complications associated with the procedure were assessed also. Results: Postoperative photographs showed the outcome was excellent in 42 cases (84%), good in 2 cases (4%), fair in 4 cases (8%), and no change in the "central area" in 2 cases (4%). No cases showed a poor or worsening outcome, and there were no complications such as visible scarring or osteotomy site depressions. Conclusions: Percutaneous root osteotomy appears to be a valuable adjunct procedure for correction of deviated noses.