Functional rhinoplasty
Abstract
Understanding nasal anatomy and physiology are the most important points for successful functional rhinoplasty. Anatomic structures playing major roles in nasal breathing functions include the septum, and internal and external nasal valves, so physical examination of these regions is essential. Planning for functional rhinoplasty involves the identification of the sites of nasal airway obstruction or old trauma, and addressing those regions during the operation with a number of different techniques that have been described.
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The butterfly graft is a highly effective method for addressing internal nasal valve blockage.
“The butterfly graft is another highly effective method for addressing internal nasal valve blockage [3].”
From Functional Rhinoplasty. (2023) · cites this paper as [3]
The septum is the central structure of the nasal cavity that normally lies relatively straight down the midline to support the nose's function and shape.
“The septum, made up of quadrilateral cartilage, is the central structure of the nasal cavity that normally lies relatively straight down the midline to support the nose’s function and shape [3].”
From Functional Rhinoplasty. (2023) · cites this paper as [3]
Turbinate surgery is only considered when it is absolutely necessary, as many patients experience satisfactory functional improvements through the correction of nasal valve and septal irregularities without the need for turbinate resection surgery.
“Turbinate surgery is only considered when it is absolutely necessary, as many patients experience satisfactory functional improvements through the correction of nasal valve and septal irregularities without the need for turbinate resection surgery [3].”
From Functional Rhinoplasty. (2023) · cites this paper as [3]
Caudal septal deviations tend to result in stenosis of the internal nasal valves and manipulation or removal of the caudal septal support risks creating nasal deformities.
“The condition tends to result in stenosis of the internal nasal valves and manipulation or removal of the caudal septal support risks creating nasal deformities [3,10].”
From Functional Rhinoplasty. (2023) · cites this paper as [3]
Turbinate reduction can cause destruction to the respiratory mucosa; therefore, this technique is ideally performed to preserve as much of the nasal mucosa as possible to maintain its capacity to secrete mucus and humidify the inhaled air.
“The most frequent surgical method, turbinate reduction, can cause destruction to the respiratory mucosa. Therefore, this technique is ideally performed to preserve as much of the nasal mucosa as possible to maintain its capacity to secrete mucus and humidify the inhaled air [3,13].”
From Functional Rhinoplasty. (2023) · cites this paper as [3]
Spreader grafts work to significantly increase the cross-sectional area of the internal nasal valve.
“These grafts work to significantly increase the cross-sectional area of the internal nasal valve [3].”
From Functional Rhinoplasty. (2023) · cites this paper as [3]
The alar rim graft offers a practical remedy for addressing lower-third nasal deficiencies without causing substantial alterations to the overall appearance of the nose.
“The alar rim graft offers a practical remedy for addressing lower-third nasal deficiencies without causing substantial alterations to the overall appearance of the nose [3].”
From Functional Rhinoplasty. (2023) · cites this paper as [3]
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Back for more: why patients seek rhinoplasty after septoplasty
Alves, C. S., Mesquita, B., Lino, J., Ferreira, M. G., & Santos, M. (2026) · The Journal of Laryngology & Otology · doi:10.1017/s0022215126104927
- Authors
- Friedman, O., Cekic, E., & Gunel, C.
- Affiliations
- University of Pennsylvania (US)
- Corresponding author
- Friedman, Oren
- ORCID
- Friedman, Oren
- Venue
- Facial Plastic Surgery Clinics of North America
- Publisher
- Elsevier BV
- Published
- 2017-05
- Volume
- 25
- Issue
- 2
- Pages
- 195-199
- ISSN
- 1064-7406 (ISSN-L)
- OpenAlex
- W4233727785
- Cited by
- 33
- References
- 23
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 3 · 2023: 6 · 2022: 3 · 2021: 3 · 2020: 5 · 2019: 2 · 2018: 2 · 2017: 1
- FWCI
- 2.80
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Facial Plastic Surgery Clinics of North America (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 › Otorhinolaryngology › Sinusitis and nasal conditions
- Keywords
- functional rhinoplasty, nasal anatomy, nasal physiology, nasal septum, nasal valve, nasal obstruction, nasal trauma, surgical planning
- MeSH terms
- Humans, Medical Illustration, Nasal Septum, Nose, Rhinoplasty, Turbinates, Nasal Obstruction
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