
- Rhinoplasty
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by admin
Types of Crooked Nose (Figs. 9 – 1,2,15 to 29)
Fig. 9 – 3. Septoplasty
– Leaving adequate caudal margin in order to
prevent columellar retraction and dropped tip.
– Leaving adequate dorsal margin in order to
prevent supratip collapse.
Fig. 9 – 4.
Division of upper lateral cartilage from the septum. Stay as close to the septum as possible.
- Crooked nose with hump.
- Crooked nose with saddling.
- Combination of hump and saddling.
- Crooked nose with lateral depression.
- C- Shape
- S- Shape
- Straight deviated
- Improving function.
- Adequate intranasal airways
- Prevention of nasal valve collapse
- Achieving satisfactory cosmetic results by keeping adequate nasal support.
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- Examination:
- Examine the dorsum and the nasal sidewalls and list the obvious deformities with good logical judgement : Hump – deviation _ depression _ asymmetry.
- Examine the nasal cavity with Nasal Endoscopy: assess the nasal septum deviation, enlarged turbinates, polyps formation, allergic rhinitis, mucoid or purulent fluids.
- Examination:
- Operative Sequence:
- Endonasal approach: Intercartilagenous, transfixion and marginal incisions
- Septal correction
- Tip surgery
- Cartilagenous dorsum alignment
- Bony dorsum alignment
- Osteotomies
- Fine _ touch bony and cartilagenous dorsum alignment
- Closure
- Dressing

