No matter how beautiful the nose may look, it is really depressing and embarassing if the patient cannot breathe well. Unfortunaely, nasal obstruction after rhinoplas
ty is pretty common. These unexpected functional problem needs a lot of attention for proper treament.
Finding out an exact place of obstructon is most important for proper treatment. However, this is complicated due to altered shape, distorted anatomy, lack of surgery information, and scar formation.
Common reasons for obstruction after rhinoplaty includes;
1) deviated septum (not corrected or newly developed)
2) internal valve stenosis after hump removal
3) collapsible lateral nasal wall due to weakened cartilage
4) narrowing of nostril due to thickend or deviated septal grafts
5) nostril stenosis due to scar
6) saddle nose with collpase of nasal cartilage
7) nasal cavity mucosal problem (stenosis, turbinate hypertrophy, mucosal loss...)
Treatment follows complete analysis of the site and etiology of obstruction. Various techniques including septal reconstruction, spreader graft, butterfly graft, alar batten graft, flaring suture, and composite graft with scar removal helps to solve this problem.
In rhinoplasty, function of the nose should not be sacrificed for aesthetic purposes. Function and shape of the nose are good friends who can go together.
ty is pretty common. These unexpected functional problem needs a lot of attention for proper treament.
Finding out an exact place of obstructon is most important for proper treatment. However, this is complicated due to altered shape, distorted anatomy, lack of surgery information, and scar formation.
Common reasons for obstruction after rhinoplaty includes;
1) deviated septum (not corrected or newly developed)
2) internal valve stenosis after hump removal
3) collapsible lateral nasal wall due to weakened cartilage
4) narrowing of nostril due to thickend or deviated septal grafts
5) nostril stenosis due to scar
6) saddle nose with collpase of nasal cartilage
7) nasal cavity mucosal problem (stenosis, turbinate hypertrophy, mucosal loss...)
Treatment follows complete analysis of the site and etiology of obstruction. Various techniques including septal reconstruction, spreader graft, butterfly graft, alar batten graft, flaring suture, and composite graft with scar removal helps to solve this problem.
In rhinoplasty, function of the nose should not be sacrificed for aesthetic purposes. Function and shape of the nose are good friends who can go together.
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| Correction of easily collapsible nasal wall developed after rhinoplasty |
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