Rhinoplasty

Abstract

BACKGROUND Rhinoplasty corrects the aesthetic appearance, facial harmony and the proportions of nose. It can also correct nasal airway passage by removing the structural defects in the nose. Rhinoplasty surgery can change the size of the nose in relation to facial balance, nose width at the bridge or in the size and position of the nostrils, nose profile with visible humps or depressions on the bridge, nasal tip that is enlarged or bulbous, drooping, upturned or hooked nostrils that are large, wide or upturned and nasal asymmetry. MATERIALS AND METHODS 25 patients were selected to include in a study on rhinoplasty with different external nasal deformities. The patients were divided into group 1 to 5 and the corresponding number of patients was 4,6,8,4 and 3 depending on the deformities. Pre and postoperative photographs were taken and necessary investigations carried out before rhinoplasty. Augmentation rhinoplasty and reduction rhinoplasty was done. Use of iliac bone and septal autograft were used. RESULTS There were 20 males and 5 females. The commonest age group was between 16 and 30 years. There were 17 crooked nose, 10 depressed nose and 7 hump nose patients. Overall, excellent results were obtained in 68% of patients, good in 28% and the remaining the result was poor. CONCLUSIONS The present study shows that commonly nasal deformity was congenital, commonest type was crooked nose and commonest deviation was cartilaginous deviation. Nasal septum plays an important role in determining the nasal aesthetic and functions. It is impossible to straighten the external nasal pyramid by any combination procedures without straightening the nasal septum.