Intermediate osteotomy: the vital pivot, in the wide nose

<p class="abstract">Deviations and deformities of the bony nasal skeleton are amenable to osteotomies in longitudinal, transverse oblique planes. These interventions undertaken either intranasal or percutaneous, translocate osteo-cartilaginous segments as a single entity. The intermediate osteotomy is usually resorted to, three situations, namely; very broad nose with good height, deviated lateral wall longer than opposite where required straighten an excessively convex bone. A lady quite was subjected bilateral ‘intermediate’ type, achieve aesthetic social acceptability.</p>