Nasal Open Roof Deformity

Osteotomies fractures may be necessary and on lay grafts may be used to close the gap between the nasal bones.

Nasal open roof deformity.

Typically the nasal skin grows or droops and vertical lines or depressions start to appear. The best way to explain an open roof deformity is to start by explaining hump reduction rhinoplasty. However if the patient has a narrow bony vault lateral osteotomies are problematic. Alongside this ms morris also suffered from an inverted v deformity where the lower end of the nasal bones visibly connect to the cartilage.

Notwithstanding the optimal method of nasal osteotomy remains controversial as evidenced by the variety of approaches with no consensus between authors. The hump is removed with a scalpel essentially a slice of bone is taken away. In this article the author presents a new and practical approach to fix the open roof deformity. Patients may present with depressed skin stuck down to intranasal mucosa and a persistently wide nose.

A keen knowledge of the normal nasal anatomy and physiology is required to recognize abnormalities and to develop a treatment plan for each individual patient that appropriately addresses both cosmetic and functional concerns. If neglected the intranasal. It depends on how low or high the nasal bones are positioned. Moreover the election of the technique responds to surgeon s preference.

Open roof deformity the nasal bones are not so much like a pyramid but more like an arched covered bridge or tunnel. Sophie was happy with the procedure at first but after eight months things went wrong. Nasal osteotomies are a cornerstone step for closing an open roof deformity after dorsal hump surgery. An open roof deformity exists after bony hump removal without proper medialization of the nasal bones.

When a bump is made smaller the top of the bones is shaved or cut shorter to reduce the bump. Posttraumatic nasal deformity is a complex problem that requires astute preoperative assessment and nasal analysis. After the bone is sliced away the nose looks great on profile view. On profile view a large dorsal hump causes the nose to look like it has a big bump.

Hump removal frequently results in an open roof during rhinoplasty which is conventionally closed with lateral osteotomies. How to correct it. A space is formed when the nasal bones do not come together near the top of the nose. When the lateral segments fail to align with the septal dorsum following osteotomies a gap which may be visually and palpably obvious results.