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Is angular artery trauma seen frequently in lateral osteotomy and responsible for peri-orbital ecchymosis?

Published online by Cambridge University Press:  12 January 2021

Z Onerci Altunay  and
T M Onerci
Z Onerci Altunay
Affiliation:
Department of Otorhinolaryngology, Haseki Education and Training Hospital, İstanbul, Turkey
T M Onerci*
Affiliation:
Department of Otorhinolaryngology, Hacettepe University, Ankara, Turkey
*
Author for correspondence: Dr T Metin Onerci, Güniz Sokak 38-5 Kavaklıdere, 06700Ankara, Turkey E-mail: monerci@gmail.com Fax: +90 312 468 6268
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Abstract

Objective

This study was performed on fresh frozen cadavers to investigate the role of angular artery damage.

Methods

Lateral osteotomies (‘high-low-high’ method) were carried out bilaterally, with a 4 mm guarded lateral osteotome, after the creation of a subperiosteal tunnel. Following completion of the lateral osteotomy, a skin incision was made in the midline dorsum. The dermis and subcutaneous tissues were carefully dissected, taking care not to damage the angular artery. Overlying tissues were cut and retracted to show the course of the angular artery.

Results

The angular artery was not damaged in any of the cadavers. The angular artery was always lateral to the lateral osteotomy line.

Conclusion

The high-low-high lateral osteotomy does not damage or traumatise the angular artery. The ecchymosis and oedema are related to other factors.

Keywords

RhinoplastyOsteotomyArteries
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 12 , December 2020 , pp. 1094 - 1095
Copyright
Copyright © JLO (1984) Limited, 2021

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Footnotes

Dr T M Onerci takes responsibility for the integrity of the content of the paper

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