Descripción:
Lateral osteotomy, internal or external, or in different levels, has some negatives that can lead to single or multiple re-operations. Its main complications are: unnatural contour of nasal bones, visible and palpable bony step, collapse of the upper lateral cartilages, along with infection, bleeding, massive edema, anosmia, lacrimal duct injury, intracranial injuries, disfigured appearance, narrow airway and nasal obstruction. It is very difficult to reverse a lateral osteotomy and revision may end up with more of a flat top or square top nose, known as an open roof deformity [1, 2].
