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On rhinomanometry in rhinoplasty.

M Jessen1, S Jacobsson, L Malm

  • 1Department of Otorhinolaryngology, University of Lund, General Hospital, Sweden.

Plastic and Reconstructive Surgery
|April 1, 1988
PubMed
Summary
This summary is machine-generated.

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Combining rhinoplasty with septoplasty improves nasal airway function, especially for deviated noses. Rhinomanometry confirmed functional gains, while isolated rhinoplasty without septal surgery did not enhance breathing.

Area of Science:

  • Plastic Surgery
  • Otolaryngology
  • Rhinology

Background:

  • Rhinoplasty is frequently performed for aesthetic reasons, but its impact on nasal function is a key consideration.
  • Nasal obstruction and airway resistance can be influenced by both the external nasal structure and internal septal deviation.

Purpose of the Study:

  • To evaluate the functional and aesthetic outcomes of rhinoplasty.
  • To compare the effects of rhinoplasty alone versus combined with septal surgery (functional septoplasty or submucous resection) on nasal airway resistance and obstruction.

Main Methods:

  • Ninety-two patients undergoing rhinoplasty were assessed.
  • Preoperative and postoperative nasal obstruction and airway resistance were measured using rhinomanometry.
  • Patients were categorized based on the presence of preoperative nasal deviation and the surgical approach (rhinoplasty alone, rhinoplasty with functional septoplasty, or rhinoplasty with submucous resection).

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Main Results:

  • Patients with preoperative nasal deviation showed improvement in nasal airway resistance when rhinoplasty was combined with either functional septoplasty or submucous resection.
  • Among patients without preoperative deviation, only those who underwent rhinoplasty combined with functional septoplasty showed rhinomanometric improvement; others experienced worsening of nasal obstruction.
  • Subjective and objective (rhinomanometric) assessments of nasal obstruction showed agreement in 76% of patients.

Conclusions:

  • Combining rhinoplasty with functional septoplasty is effective in improving nasal airway function, particularly in patients with septal deviation.
  • Rhinoplasty performed without addressing septal issues may not improve, and can potentially worsen, nasal breathing.
  • Rhinomanometry is a valuable tool for objectively assessing functional changes after rhinoplasty and septal surgery.