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PREOPERATIVE DIAGNOSIS:
Nasal obstruction secondary to malpositioned/over-resected lower lateral cartilages (external valve collapse)/Internal valve collapse, turbinate hypertrophy and deviated septum.
Septal Deviation.
Bilateral turbinate hypertrophy.
PROCEDURE: External Rhinoplasty
- Repair of nasal vestibular stenosis secondary to bilateral external valve collapse secondary to alar rim collapse and malpositioned lower lateral crura with placement of bilateral lateral crural strut grafts.
- Repair of nasal vestibular stenosis secondary to internal valve collapse secondary to narrow/subluxed upper lateral cartilage with placement of bilateral spreader grafts (double on left).
- Complex septal reconstruction, submucous resection with major partial vomerectomy for correction of deviated nasal septum.
- Submucous resection and partial resection of right inferior turbinate.
- Submucous resection and partial resection of left inferior turbinate
- Repair of nasal vestibular stenosis secondary to nasal tip ptosis with placement of a columellar strut.
- Repair of nasal vestibular stenosis secondary to deviated nasal pyramid causing nasal inlet obstruction with ostoeotomies.
FINDINGS: Weak alar rims secondary to malpositioned lower lateral cartilage causing collapse, left deviated septum with spur with caudal deviation to left & narrow middle vault (left greater than right), and nasal tip ptosis.
COMMENT: This patient was having trouble breathing and wished to improve her profile. Post-surgery photos reveal a softer nasal appearance.
