On profile view a large dorsal hump causes the nose to look like it has a big bump.
Nasal hump open roof deformity.
The best way to explain an open roof deformity is to start by explaining hump reduction rhinoplasty.
An open roof deformity is created by not performing osteotomies after the hump has been removed.
Moreover the election of the technique responds to surgeon s preference.
The hump is removed with a scalpel essentially a slice of bone is taken away.
Notwithstanding the optimal method of nasal osteotomy remains controversial as evidenced by the variety of approaches with no consensus between authors.
Open roof deformity is one of the most common and problematic deformities in revision rhinoplasties due to failure to perform or performing incomplete ineffective uneven or unilateral osteotomies between the nasal bones and the maxilla thus impeding a smooth medialization of the nasal bones after either hump resection or humpless dorsum narrowing.
Nasal osteotomies are a cornerstone step for closing an open roof deformity after dorsal hump surgery.
After the bone is sliced away the nose looks great on profile view.
An open roof deformity is a term used to describe the appearance of the nose after a large dorsal hump reduction.