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Nasal Obstruction in Asian Rhinoplasty

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Asian Septorhinoplasty
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References

  1. Andre RF, Vuyk HD, Ahmed A, Graamans K, Nolst Trenité GJ. Correlation between subjective and objective evaluation of the nasal airway. A systematic review of the highest level of evidence. Clin Otolaryngol. 2009;34(6):518–25.

    Article  CAS  Google Scholar 

  2. Kim CS, Moon BK, Jung DH, Min YG. Correlation between nasal obstruction symptoms and objective parameters of acoustic rhinometry and rhinomanometry. Auris Nasus Larynx. 1998;25(1):45–8.

    Article  CAS  Google Scholar 

  3. Andrews PJ, Choudhury N, Takhar A, Poirrier AL, Jacques T, Randhawa PS. The need for an objective measure in septorhinoplasty surgery: are we any closer to finding an answer? Clin Otolaryngol. 2015;40(6):698–703.

    Article  CAS  Google Scholar 

  4. Dadgarnia MH, Baradaranfar MH, Mazidi M, Azimi Meibodi SMR. Assessment of septoplasty effectiveness using acoustic rhinometry and rhinomanometry. Iran J Otorhinolaryngol. 2013;25(71):71–8.

    PubMed  PubMed Central  Google Scholar 

  5. Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the nasal obstruction symptom evaluation (NOSE) scale. Otolaryngol Head Neck Surg. 2004;130(2):157–63.

    Article  Google Scholar 

  6. Kahana-Zweig R, Geva-Sagiv M, Weissbrod A, Secundo L, Soroker N, Sobel N. Measuring and characterizing the human nasal cycle. PLoS One. 2016;11(10):e0162918.

    Article  Google Scholar 

  7. Suh JD, Kennedy DW. Treatment options for chronic rhinosinusitis. Proc Am Thorac Soc. 2011;8(1):132–40.

    Article  CAS  Google Scholar 

  8. Lanza DC, Kennedy DW. Adult rhinosinusitis defined. Otolaryngol Head Neck Surg. 1997;117(3 Pt 2):S1–7.

    Article  CAS  Google Scholar 

  9. Suh M-W, Jin H-R, Kim J-H. Computed tomography versus nasal endoscopy for the measurement of the internal nasal valve angle in Asians. Acta Otolaryngol. 2008;128(6):675–9.

    Article  Google Scholar 

  10. Roithmann R, Cole P, Chapnik J, Shpirer I, Hoffstein V, Zamel N. Acoustic rhinometry in the evaluation of nasal obstruction. Laryngoscope. 1995;105(3 Pt 1):275–81.

    Article  CAS  Google Scholar 

  11. Krouse J, Lund V, Fokkens W, Meltzer EO. Diagnostic strategies in nasal congestion. Int J Gen Med. 2010;3:59–67.

    Article  Google Scholar 

  12. Daele JJ, Leruth E, Goffart Y. Consensus in rhinoplasty. B-ENT. 2010;6(Suppl 15):109–13.

    PubMed  Google Scholar 

  13. Wang J, Cai C, Wang S. Merocel versus Nasopore for nasal packing: a meta-analysis of randomized controlled trials. PLoS One. 2014;9(4):e93959.

    Article  Google Scholar 

  14. Bafaqeeh SA, al-Qattan MM. Alterations in nasal sensibility following open rhinoplasty. Br J Plast Surg. 1998;51(7):508–10.

    Article  CAS  Google Scholar 

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Correspondence to Eun-Sang Dhong .

5.1 Electronic Supplementary Material

A case of CT findings do not correlate with AR: This patient complained of nasal obstruction on the left. It is different from the findings of intranasal adhesion of the right nasal cavity of axial CT scans (MP4 10456 kb)

The deviation of the caudal septum can be detected either on axial CT or physical examination. Caudal convexity recoiled to the left even when pushed with a nasoscope. In addition, this was considered the cause of nasal obstruction. Since the membranous septum exists and the caudal margin was confirmed, it could be assumed that the septal extension graft was not performed (MP4 36848 kb)

The most important task is to find the caudal septum in the tight pocket located after removing the Gore-tex. The weak caudal septal convexity was reinforced using the folded cymba concha with the tongue-in-groove method (MP4 33215 kb)

The abruptly lowered INV angle with a step ladder deformity (MP4 6473 kb)

The patient brought all CT scans; the first half image was the last CT scan before the dermis graft when the nasal congestion was not severe, and the shape was unsatisfactory. The second half CT scan showed improvement in shape, but she complains of severe nasal obstruction after heavy dermis graft (MP4 10420 kb)

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Dhong, ES., Na, MW. (2021). Nasal Obstruction in Asian Rhinoplasty. In: Asian Septorhinoplasty. Springer, Singapore. https://doi.org/10.1007/978-981-16-0542-0_5

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  • DOI: https://doi.org/10.1007/978-981-16-0542-0_5

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-16-0541-3

  • Online ISBN: 978-981-16-0542-0

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