Nasal Tip Reshaping in Orthognathic Surgery: A Novel Intraoral Minimally Invasive Approach

Area of Science:

• Oral and Maxillofacial Surgery
• Plastic Surgery
• Rhinology

Background:

• Orthognathic surgery corrects dentoskeletal issues and enhances facial aesthetics/function.
• Nasal reshaping is crucial for orthognathic surgery outcomes and patient satisfaction.
• Caudal septum deviations impact nasal function and aesthetics, potentially worsening with orthognathic procedures.

Purpose of the Study:

• To describe a novel, minimally invasive intraoral rhinoseptoplasty technique performed concurrently with orthognathic surgery.
• To detail maneuvers for optimizing nasal tip projection, rotation, centering, and stabilization.
• To evaluate the functional and aesthetic improvements in orthognathic surgery patients.

Main Methods:

• A detailed account of an intraoral rhinoseptoplasty technique during orthognathic surgery.
• Strategic maneuvers including maxillary spine chondroperiosteal junction dissection, strut preservation, and septum resection.
• Intraoral techniques such as subnasal drilling and septal stabilization sutures were employed.

Main Results:

• The intraoral approach successfully reshaped the nasal tip, improving projection, rotation, and centering.
• Significant functional and aesthetic improvements were observed, particularly in profiloplasty.
• The technique effectively addressed caudal septum deviations and nasal tip droop with no external scarring.

Conclusions:

• The described intraoral rhinoseptoplasty is an innovative and effective adjunct to orthognathic surgery.
• This scarless, minimally invasive technique enhances both functional and aesthetic outcomes.
• The approach offers valuable surgical finesse, improving patient satisfaction in orthofacial surgery.