DURING a rhinoplasty the surgeon tries to avoid pitfalls that produce crippling nasal function or disappointing deformities of the nasal pyramid. The most common rhinoplastic sequelae, resulting in nasal obstruction, are those caused by lack of appropriate management, primarily of the nasal septum or, occasionally, of the hypertrophied inferior turbinates, and by improper treatment of the upper and lower lateral cartilages. Examples of faulty nasal function as well as the accompanying defective esthetic results and the causes for their occurrence will be discussed. The practical aspects of nasal physiology in rhinoplasty will be evaluated.
The cutting of the so-called nasal valves and other intranasal incisions that are made to gain access for skeletonizing the nasal dorsum, for the lateral osteotomies and for undermining the nasal tip, play no significant part in nasal physiology, provided the osseous and the upper and lower cartilaginous vaults, including the septum and the turbinates, are
GOLDMAN IB. Rhinoplastic Sequelae Causing Nasal Obstruction. Arch Otolaryngol. 1966;83(2):151–155. doi:10.1001/archotol.1966.00760020153011
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