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Rhinoplasty: nasal anatomy.

R K Daniel1, A Letourneau

  • 1Division of Plastic Surgery, Royal Victoria Hospital, Montreal, Quebec, Canada.

Annals of Plastic Surgery
|January 1, 1988
PubMed
Summary

Surgical anatomy of the nose reveals distinct bony and cartilaginous structures crucial for rhinoplasty. Understanding these nasal components aids in precise surgical profile modification.

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Area of Science:

  • Anatomy
  • Surgical Anatomy
  • Nasal Anatomy

Background:

  • Nasal anatomy is complex, involving bony and cartilaginous structures.
  • Understanding embryology and development is key to appreciating nasal structure.

Purpose of the Study:

  • To detail the surgical anatomy of the nose based on fresh cadaver dissections.
  • To clarify the distinct components of the bony and cartilaginous nasal vaults.
  • To describe the nasal lobule and superficial muscular system.

Main Methods:

  • Over 100 fresh cadaver dissections.
  • Review of nasal embryology and development literature.

Main Results:

  • Nasal profile modification involves bony hump removal and nasofrontal groove adjustment.
  • The cartilaginous vault is a unified structure of septum and upper lateral cartilages.
  • A continuous cartilaginous ring is present within the nasal lobule.
  • The nose is enveloped by a superficial muscular aponeurotic system.

Conclusions:

  • Detailed knowledge of nasal surgical anatomy is essential for effective rhinoplasty.
  • The unified nature of the cartilaginous vault and specific bony landmarks are critical for surgical planning.

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