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March 1992

Septorhinoplasty: Computed Tomographic Scan Correlations

Author Affiliations

Los Angeles, Calif

Arch Otolaryngol Head Neck Surg. 1992;118(3):235. doi:10.1001/archotol.1992.01880030017003

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At the fall conjoint meeting of the American Academy of Otolaryngology—Head and Neck Surgery, the American Academy of Facial Plastic and Reconstructive Surgery, and the American Academy of Otolaryngologic Allergy in Kansas City, Mo, Charles E. Clark III, MD, Durham, NC, discussed significant correlations of coronal and axial computed tomographic (CT) scans of the nose and paranasal sinuses with planning and performing septorhinoplasty. He based his report on the clinical experience of obtaining CT scans for assessment of sinus and functional nasal disease in patients who also desired rhinoplasty. Several key correlations were found, among them nasal bone abnormalities, including asymmetries of thickness, length, height, slope, and contour. Dr Clark also graphically pointed out abnormalities of the ethmoid sinus, agar nasi, and middle turbinate complex that could adversely affect septorhinoplasty unless evaluated and planned for preoperatively by CT scan. In an excellent exemplary case, he showed a coronal nasal and

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