How is nasal obstruction caused by rhinoplasty corrected?

Updated: Nov 04, 2019
  • Author: Samuel J Lin, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Correction of nasal valve obstruction following rhinoplasty may include inferior turbinectomy, septoplasty, spreader or alar grafts, and nasal valvuloplasty. [41, 42] Scar excision, skin grafting, or Z-plasty may be performed to treat scarring of the nasal valve. [24]  Many cases of nasal obstruction following septorhinoplasty relate to previously unrecognized structural problems, such as septal deflections, deviation of the ethmoid bone, and hypertrophied turbinates, as well as allergies. [43, 44] Patient assessments and evaluations are critical for appropriate appraisal of preoperative nasal pathology.

Prospective analyses of patients undergoing functional septorhinoplasty report significant improvement in obstructive symptoms. [45, 46, 47] Similarly, aesthetic rhinoplasty may routinely improve respiratory function and does not necessarily have deleterious effects on the nasal airway. [48]

In conclusion, the ability to alter the physical structure of the nose has notable potential for changing a patient's nasal airflow. Care must be taken to consider the dynamics of the nasal airway and preserve its function.


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