Surgical treatment of nasal obstruction in rhinoplasty
Abstract
The key to a successful septorhinoplasty includes an understanding of nasal anatomy and physiology. This allows the surgeon the ability to properly address both form and function during the operation. History and physical examination are paramount in diagnosing and subsequently treating the epicenter of obstruction, which is commonly found among the internal and external nasal valve, the septum, or the turbinates. Treatment of each of these areas is nuanced and multiple approaches are discussed to provide an understanding of the current surgical techniques that allow for excellent functional and cosmetic rhinoplasty results.
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Rhinomanometry stands as the most frequently employed objective assessment method for evaluating the nasal airway.
“Rhinomanometry stands as the most frequently employed objective assessment method for evaluating the nasal airway.”
From Functional Rhinoplasty. (2023) · cites this paper as [17]
Nasal obstruction results from a dynamic interaction of static and dynamic forces.
“Nasal obstruction results from a dynamic interaction of static and dynamic forces.”
From Functional Rhinoplasty. (2023) · cites this paper as [17]
Static forces are defined as stenotic areas; examples of nasal obstruction secondary to static forces include septal deviation, turbinate hypertrophy, inherent concavity of the nasal cartilages, and avulsion of the attachment of the upper lateral cartilages to the septum.
“Static forces are defined as stenotic areas. Examples of nasal obstruction secondary to static forces include septal deviation, turbinate hypertrophy, inherent concavity of the nasal cartilages, and avulsion of the attachment of the upper lateral cartilages to the septum [17].”
From Functional Rhinoplasty. (2023) · cites this paper as [17]
Dynamic forces are defined as a lack of resiliency of the cartilages, leading to collapse, usually secondary to weakened cartilage or dilator muscles.
“Dynamic forces are defined as a lack of resiliency of the cartilages, leading to collapse. This is usually secondary to weakened cartilage or dilator muscles [17].”
From Functional Rhinoplasty. (2023) · cites this paper as [17]
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- Authors
- Ghosh, A., & Friedman, O.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Friedman, Oren
- ORCID
- Friedman, Oren
- Venue
- Clinics in Plastic Surgery
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 43
- Issue
- 1
- Pages
- 29-40
- ISSN
- 0094-1298 (ISSN-L)
- OpenAlex
- W2174980880
- Cited by
- 20
- References
- 32
- Citations by year
- 2025: 3 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 3
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinics in Plastic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- nasal obstruction, septorhinoplasty, rhinoplasty, nasal anatomy, nasal physiology, nasal valve, septum, turbinates, functional rhinoplasty, aesthetic rhinoplasty
- MeSH terms
- Humans, Rhinoplasty, Nasal Obstruction
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