[Ventilatory examination before an aesthetic rhinoplasty]

Area of Science:

• Otolaryngology
• Surgical Anatomy
• Functional Nasal Surgery

Background:

• The nose and nasal cavity are crucial for ventilation, air conditioning, and olfaction.
• Various conditions, including inflammation, infection, malignancy, and surgical alterations, can impair nasal function.
• Clinical examination of nasal function can yield variable results.

Purpose of the Study:

• To describe a systematic clinical examination for assessing nasal and nasal cavity function.
• To enable non-ENT surgeons to identify patients requiring further preoperative functional evaluation.
• To categorize patients into groups for potential rhinoplasty or rhinoseptoplasty procedures.

Main Methods:

• A brief review of nasal physiology.
• Detailed description of a 'descrambling examination' technique.
• Classification of patients into three distinct groups based on examination findings and surgical indications.

Main Results:

• The examination aids in selecting patients for preoperative functional exploration.
• Identifies patients suitable for rhinoplasty without contraindications.
• Distinguishes patients who would benefit from aesthetic and functional rhinoseptoplasty.
• Recognizes patients with contraindications for rhinoplasty.

Conclusions:

• The described examination provides a structured approach to evaluating nasal function.
• It assists in appropriate patient selection for nasal surgeries like rhinoplasty and rhinoseptoplasty.
• This method can improve preoperative assessment and surgical planning for improved patient outcomes.