Webster’s Triangle

  • Webster’s Triangle is a triangular bony strut at the piriform aperture which represents the attachment point of the inferior turbinate.1
    • This is clinically important with performing a lateral osteotomy during rhinoplasty as the osteotomy should begin high on the piriform aperture above Webster’s triangle in order to avoid subsequent internal nasal valve collapse.
  • This technique is termed the high-low-high lateral osteotomy, as you start high on the piriform aperture, proceed downwards into the maxillary groove (low), and then curve back upwards to the nasofrontal suture (high).2

Webster's triangle

  1. Webster, Richard C., Terence M. Davidson, and Richard C. Smith. “Curved lateral osteotomy for airway protection in rhinoplasty.” Archives of Otolaryngology 103.8 (1977): 454-458. 

  2. Mowlavi, Arian, et al. “Understanding why lateral osteotomy during rhinoplasty can be performed safely.” Eplasty 19 (2019). 

Last updated October 24, 2022