[The actual problems in functional and aesthetic nasal surgery]

Area of Science:

• Otolaryngology
• Plastic Surgery
• Rhinology

Context:

• Functional and aesthetic nasal surgery is evolving towards more conservative and selective approaches.
• Improved diagnostic tools like computerized morphometry and rhinosinus endoscopy enhance pre-operative planning.
• Surgical techniques are adaptable, allowing combinations for specific anatomical regions.

Purpose:

• To critically evaluate current methodologies in functional and aesthetic nasal surgery.
• To discuss the advantages and disadvantages of open versus closed rhinoplasty techniques.
• To explore flap techniques and the management of the nasal tip in rhinoseptoplasty.

Summary:

• The open technique is recommended for complex revisions, while the trans-mucosal approach for skeletizing may reduce long-term complications.
• Conservative techniques are advised for the nasal tip due to the high risk of damage.
• Despite surgical success, persistent breathing issues in some patients may stem from a lack of progress in endonasal receptor research.

Impact:

• Provides insights into optimizing surgical outcomes by selecting appropriate techniques for specific nasal structures.
• Highlights areas for future research, particularly concerning the role of endonasal receptors in post-rhinoplasty breathing.
• Aims to refine surgical decision-making for improved patient results in rhinoplasty.