Abstract
Rhinoplasty is performed to improve the appearance of the nose. However, conventional procedures may result in impairment of nasal breathing. The purpose of this article is to describe a “functional and esthetic” rhinoplasty technique designed to avoid adverse effects on venti1ation by preserving the structure of the nasal vault. The main indication for this technique is treatment of cyphotic or tension nose. Since this procedure does not correct nasal obstruction due to septo-turbinal abnormalities and narrow nasal fossa, turbinoplasty must be performed concurrently if necessary. Our series of >1000 cases over a 15-year period demonstrates that this conservative rhinoplasty technique prevents most functional complications associated with conventional procedures and often improves ventilation. Immediate and long-term cosmetic outcome is excellent with a natural-looking appearance and fewer tip revisions.
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References
C Baud (1970) ArticleTitleL’abaissement de l’arête nasale. Cahiers d’ORL 5 43–51
C Baud (1978) Harmonie du Visage. Baud édit, La Chaux-de-fonds Switzerland
MH Cottle (1964) ArticleTitleAn introduction to conservative septum-pyramid surgery. Intern Rhino 2 11–24
OO Erol (2000) ArticleTitleThe Turkish delight: a pliable graft for rhinoplasty. Plast Reconstr Surg 105 2229–2241
L Flottes P Clerc R Riu F Devilla (1960) La physiologie des sinus. Arnette Paris
R Gola et al. (1993) ArticleTitleRhinoplastie conservatrice. Ann Chir Plast Esthét 38 239–252
R Gola (2000) La rhinoplastie fonctionnelle et esthétique. Springer Verlag Paris
R Gola A Nerini C Laurent-Fyon PY Waller (1989) ArticleTitleRhinoplastie conservatrice de l’auvent nasal. Ann Chir Plast Esth 34 465–475 Occurrence Handle1:STN:280:By%2BC2cnhtFE%3D Occurrence Handle2482688
R Gola PY Waller E Semeria (1990) ArticleTitleRhinoplastie conservatrice de 1’auvent nasal. Rev Stomatol Chir Maxillofac 91 440–446 Occurrence Handle1:STN:280:By6C2cboslQ%3D Occurrence Handle2291084
OA Lothrop (1914) ArticleTitleAn operation for correcting the aquiline nasal deformity. The use of new instrument. Report of a case. Boston Med Surg J 170 835–837
G Maurel (1940) Chirurgie Maxillo-faciale. Le François Paris
R Passot (1931) Chirurgie esthétique pure. Doin Paris
GC Peck (1983) ArticleTitleThe onlay graft for nasal tip projection. Plast Reconstr Surg 71 27–37 Occurrence Handle1:STN:280:BiyD1M7mtVQ%3D Occurrence Handle6849020
DF Proctor IB Andersen (1982) The nose. Elsevier Biomedical Press Amsterdam
P Sebileau L Dufourmentel (1926) Correction chirurgicale des difformités congénitales et acquises de la pyramide nasale. Arnette Paris
JH Sheen (1975) ArticleTitleAchieving more nasal tip projection by the use of small autogenous vomer or septal cartilage graft. Plast Reconstr Surg 56 35–40 Occurrence Handle1:STN:280:CSqC1MjgtF0%3D Occurrence Handle1144545
ME Tardy (1987) ArticleTitleTransdomal suture refinement of the nasal tip. Facial Plast Surg 4 317–326
ME Tardy (1997) Rhinoplasty. Saunders Philadelphia
J Tisserant M Wayoff (1986) ArticleTitleLa valve nasale. Cahiers d’ORL 21 241–282 Occurrence Handle10.1016/S0005-2736(97)00168-5 Occurrence Handle1:CAS:528:DyaK2sXnsFyktrc%3D Occurrence Handle9408171
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I am grateful to O. Richard for the illustrations.
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Gola, R. Functional and Esthetic Rhinoplasty. Aesth. Plast. Surg. 27, 390–396 (2003). https://doi.org/10.1007/s00266-003-2136-9
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DOI: https://doi.org/10.1007/s00266-003-2136-9