Does the Webster`s Triangle Preservation Really Matter? A Retrospective Analysis of the Low to Low Osteotomies in the Head of the Inferior Turbinates

• Published in: Aesthetic surgery journal. Open forum
• Main Authors: Ishida, Luis C, Guedes, Matheus, Alves, Guilherme F F, da Fonseca, Julia O, Fonesca, Eduardo L, Takahashi, Giulia G, Gemperli, Rolf
• Format: Journal Article
• Language: English
• Published: 20.09.2024
• ISSN: 2631-4797; 2631-4797
• DOI: 10.1093/asjof/ojae079

Abstract Background Osteotomies are important maneuvers in the plastic surgeon`s arsenal for the nasal dorsum treatment. However, there is a concern regarding a possible medialization of the inferior turbinate`s heads and narrowing of the internal nasal valve if the Webster`s triangle is not preserved. Objectives To analyze the mobilization of the inferior turbinates during primary rhinoplasty after lateral osteotomies. Methods This is a retrospective study in which we analyzed 37 patients who underwent very-low-to-low osteotomies in our service, during primary rhinoplasties. Axial and coronal CT-scans were obtained, and pre-operative and 6 months post-operative images were compared with Radiant DICOM Viewer software (Medixant©) in 3D Multiplanar Reconstruction (MPR). Results There were no statistically significant differences between pre- and post-operative measurements of the lower turbinate`s osseous bases, both in axial (p=0,305) and coronal (p=0,08) images Conclusions Low-to-low osteotomies showed no medialization of the inferior turbinate`s heads or narrowing of the internal nasal valve in this study.