Relevant applied anatomic facts are presented as an aid in performing corrective rhinoplasty. Some relationships described are either omitted or not stressed in standard anatomy textbooks.
Components of the bony pyramid are described, and a controlled, curved lateral osteotomy is suggested, based on the morphology of bones involved. Structure and relationships of lateral and tip cartilages and narrowing of the cartilaginous vault at surgery are discussed. Interrelationships of columella with membranous septum and quadrilateral cartilage are presented. Accommodation of varying thicknesses of soft tissues that invest the nasal skeleton by adjusting outline of profile along dorsal line is shown.
Bernstein L. Applied Anatomy in Corrective Rhinoplasty. Arch Otolaryngol. 1974;99(1):67–70. doi:10.1001/archotol.1974.00780030071012
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