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The Twisted Nose: What to Do When It's Not Straight
Joseph R Gonzalez1, Andrew A Winkler1
1Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado.
Facial Plastic Surgery : FPS
|June 2, 2018
Summary
Correcting a twisted nose after septorhinoplasty requires a systematic approach. This guide offers surgical pearls and techniques for improved aesthetic and functional outcomes in revision cases.
Area of Science:
- Plastic Surgery
- Facial Reconstructive Surgery
- Otolaryngology
Background:
- Septorhinoplasty is a common procedure with a notable revision rate.
- Postoperative nasal deviation presents significant challenges for both patient and surgeon.
- Addressing nasal asymmetry requires understanding complex aesthetic and functional nasal anatomy.
Purpose of the Study:
- To provide surgeons with practical techniques for correcting a twisted nose post-septorhinoplasty.
- To emphasize a systematic, individualized approach to revision rhinoplasty for nasal deviation.
- To share surgical pearls for enhancing decision-making in complex nasal reconstruction.
Main Methods:
- Systematic evaluation of the nose in three distinct thirds (upper, middle, lower).
- Discussion of various surgical armamentarium options for nasal correction.
- Presentation of specific, reproducible surgical techniques and "pearls".
Main Results:
- A structured approach to correcting nasal deviation is crucial.
- Tailoring techniques to specific nasal thirds improves outcomes.
- Surgeons can refine their practice with effective, reproducible methods.
Conclusions:
- Revision of a twisted nose demands specialized knowledge and empathy.
- A systematic, individualized surgical strategy is key to successful outcomes.
- The article offers valuable insights and techniques for surgeons managing complex nasal deformities.