Revision Functional Surgery: Salvaging Function.
Reduction rhinoplasty techniques include maneuvers that weaken the nasal osseocartilaginous framework. The structurally compromised anatomy remaining after reductive surgery may be left with inadequate strength to withstand postoperative contractile forces. Significant aesthetic and functional deformities requiring revision rhinoplasty may develop. This article reviews common causes of nasal obstruction after primary rhinoplasty. The discussion of etiology is based on both the anatomic description of nasal subsites (middle vault and lateral walls) as well as an explanation of why certain techniques lead to functional problems in these areas. Revision rhinoplasty techniques for correcting these problems are discussed in detail.
Department of Otolaryngology, Head and Neck Surgery, Loyola University Medical Center, 2160 South First Avenue, Maywood, IL 60153, USA; Private Practice, Facial Plastic and Reconstructive Surgery, 1S 280 Summit, Suite C-4, Oakbrook Terrace, IL 60181, USA.
Sahar
S
Nadimi
Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, 55 Francisco Street, Suite 705, San Francisco, CA 94103, USA; Private Practice, Facial Plastic and Reconstructive Surgery, 55 Francisco Street, Suite 705, San Francisco, CA 94133, USA. Electronic address: dwk@drkimfacialplastics.com.
David W
DW
Kim
D005260:Female; D006801:Humans; D008297:Male; D019300:Medical Errors; D015508:Nasal Obstruction; D009300:Nasal Septum / Q000601:surgery / Q000637:transplantation; D010781:Photography; D020250:Postoperative Nausea and Vomiting; D012086:Reoperation; D012225:Rhinoplasty / Q000009:adverse effects / Q000379:methods*; D016879:Salvage Therapy
Functional rhinoplasty; Nasal valve; Revision rhinoplasty; Rhinoplasty complications