JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2018, Vol. 32 ›› Issue (1): 37-41.doi: 10.6040/j.issn.1673-3770.1.2017.058

Previous Articles     Next Articles

The basic anatomical considerations for functional rhinoplasty

ZHOU Peng1, SU Kaiming1,2   

  1. Department of Otorhinolaryngology, South Hospital of Affiliated Six Peoples Hospital, Shanghai Jiao Tong University, Shanghai 201400, China
  • Received:2017-12-01 Online:2018-01-20 Published:2018-01-20

Abstract: There are two major types of rhinoplasty: cosmetic and functional. Functional rhinoplasty alters the anatomy of the nose to optimize the airways. The appearance of the nose may improve as a result of the surgery. The common indications for this procedure vary, such as crooked nose, caudal septal deviation, old nasal fracture, deformities of nasal cartilages, and narrowing and collapse of internal or external nasal valve. This paper presents the anatomical considerations for functional rhinoplasty.

Key words: Anatomy, Rhinoplasty, function, Clinical application

CLC Number: 

  • 765.9
[1] Lee J, Constantinides M. Trends in functional rhinoplasty 2008[J]. Curr Opin Otolaryngol Head Neck Surg, 2009, 17(4):295-301.
[2] Stewart M, Witsell D, Smith T, et al. Development and validation of the Nasal Obstruction Symptom Evaluation(NOSE)scale[J]. Otolaryngol Head Neck Surg, 2004, 130(2):157-163.
[3] Wu WT. The oriental nose: an anatomical basis for surgery[J]. Ann Acad Med, Singapore, 1992, 21(2):176-189.
[4] Cho G, Kim J, Yeo N, et al. Nasal skin thickness measured using computed tomography and its effect on tip surgery outcomes[J]. Otolaryngol Head Neck Surg, 2011, 144(4):522-527.
[5] Teller DC. Anatomy of a rhinoplasty:emphasis on the middle third of the nose[J]. Facial plast surg, 1997, 13(4):241-252.
[6] Ozkul MH, Kocagoz DG, Balikci HH, et al. A practical method for assessing nasal skin quality[J]. Eur Arch Otorhinolaryngol, 2013, 270(6):1839-1842.
[7] Azizzadeh B, Reilly M. Dorsal hump reduction and osteotomies[J]. Clin Plast Surg, 2016, 43(1):47-58.
[8] Sowder JC, Thomas AJ, Ward PD. Essential anatomy and evaluation for functional rhinoplasty[J]. Facial Plast Surg Clin North Am, 2017, 25(2):141-160.
[9] Aksoy F, Veyseller B, Yildirim Y, et al. Role of nasal muscles in nasal valve collapse[J]. Otolaryngol Head Neck Surg, 2010, 142(3):365-369.
[10] Nakajima H, Imanishi N, Aiso S. Facial artery in the upper lip and nose: anatomy and a clinical application[J]. Plast Reconstr Surg, 2002, 109(3):855-861.
[11] Toriumi DM, Mueller RA, Grosch T, et al. Vascular anatomy of the nose and the external rhinoplasty approach[J]. Arch Otolaryngol Head Neck Surg, 1996, 122(1):24-34.
[12] Oneal R, Beil R. Surgical anatomy of the nose[J]. Clin Plast Surg, 2010, 37(2):191-211.
[13] Rohrich RJ, Gunter JP, Friedman RM. Nasal tip blood supply: an anatomic study validating the safety of the transcolumellar incision in rhinoplasty[J]. Plast Reconstr Surg, 1995, 95(5):795-799, 800-801.
[14] Webster RC, Davidson TM, Smith RC. Curved lateral osteotomy for airway protection in rhinoplasty[J]. Arch Otolaryngol, 1977, 103(8):454-458.
[15] Goldfarb M, Gallups JM, Gerwin JM. Perforating osteotomies in rhinoplasty[J]. Arch Otolaryngol Head Neck Surg, 1993, 119(6):624-627.
[16] VanKoevering KK, Rosko AJ, Moyer JS. Osteotomies Demystified[J]. Facial Plast Surg Clin North Am, 2017, 25(2):201-210.
[17] Schlosser RJ, Park SS. Surgery for the dysfunctional nasal valve. Cadaveric analysis and clinical outcomes[J]. Arch Facial Plast Surg, 1999, 1(2):105-110.
[18] Sheen JH. Spreader graft:a method of reconstructing the roof of the middle nasal vault following rhinoplasty[J]. Plas Reconstr Surg, 1984, 73(2):230-237.
[19] Goudakos J, Fishman J, Patel K. A systematic review of the surgical techniques for the treatment of internal nasal valve collapse: where do we stand?[J]. Clin Otolaryngol, 2017, 42(1):60-70.
[20] Teichgraeber JF, Gruber RP, Tanna N. Surgical management of nasal airway obstruction[J]. Clin Plast Surg, 2016, 43(1):41-46.
[21] Gunter J, Rohrich R. Management of the deviated nose. The importance of septal reconstruction[J]. Clin Plast Surg, 1988, 15(1):43-55.
[22] Gunter J, Rohrich R. Augmentation rhinoplasty: dorsal onlay grafting using shaped autogenous septal cartilage[J]. Plast Reconstr Surg, 1990, 86(1):39-45.
[23] Tardy ME Jr, Denneny J, Fritsch MH. The versatile cartilage autograft in reconstruction of the nose and face[J]. Laryngoscope, 1985, 95(5):523-533.
[24] Sajjadian A, Rubinstein R, Naghshineh N. Current status of grafts and implants in rhinoplasty: part I. Autologous grafts[J]. Plast Reconstr Surg, 2010, 125(2):40-49.
[25] Hwang S, Lim O, Hwang M, et al. The clinical analysis of the nasal septal cartilage by measurement using computed tomography[J]. Arch Craniofac Surg, 2016, 17(3):140-145.
[26] Carr S, Twigg V, Mirza S. Radiological study of the anatomy of the keystone area of the nasal septum using computed tomography to aid septal surgery[J]. Clin Otolaryngol, 2016, 41(4):317-320.
[27] Rohrich RJ, Muzaffar AR, Janis JE. Component dorsal hump reduction: the importance of maintaining dorsal aesthetic lines in rhinoplasty[J]. Plast Reconstr Surg, 2004, 114(5):1298-1308.
[28] Sharafi M, Jalessi M, Adamson PA. Newlydesigned upper lateral cartilage flap for preventing depression of the keystone area in large-nose septorhinoplasty[J]. JAMA Facial Plast Surg, 2015, 17(6):399-404.
[29] Daniel R. The nasal tip: anatomy and aesthetics[J]. Plast Reconstr Surg, 1992, 89(2):216-224.
[30] Ketcham A, Dobratz E. Normal and variant anatomy of the nasal tip[J]. Facial Plast Surg, 2012, 28(2):137-144.
[31] Anderson J. A reasoned approach to nasal base surgery[J]. Arch Otolaryngol, 1984, 110(6):349-358.
[32] Christophel J, Park S. Structural support and dynamics at the tip[J]. Facial Plast Surg, 2012, 28(2):145-151.
[1] LI Shiqiang, MA Yan, WANG Jiawei. Advances in clinical applications of optical coherence tomography angiography in systemic diseases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(1): 127-134.
[2] JIANG Zhilin, ZHU Ruikai, QIU Qianhui. Imaging-based observation and analysis of the pharyngeal internal carotid artery trajectory [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(4): 69-76.
[3] MA Li, GAO Zhan, LI Pengqi, NI Qianwei. Current status of anatomical research on nasal orbital ethmoid and concurrent zygomatic bone fracture complications [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(5): 126-130.
[4] ZHANG Huaxiu, LIU Qin, LUO Wugen, YANG Jian, CHEN Lingyun. Clinical effect of new neck brace receiver in external auditory canal irrigation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 7-10.
[5] TANG Huixin, LI Jingjing, ZOU Hong. Mechanism and clinical applications of subthreshold diode micropulse laser [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 143-148.
[6] HAI Yue,LIAO Xuan. Research progress and clinical application of Catquest-9SF [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 142-146.
[7] Feiyan LU,Yongtian LU,Junwei ZHOU,Yuan LIU. Applied anatomy of endoscopic resection of the petrous apex through the transcanal infracochlear approach [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 62-68.
[8] Zhiwen CHEN,Lei CHENG. Detection and clinical application of nasal nitric oxide [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 124-128.
[9] DU Zhihong. Application of oro-nasal combination approach under electronic nasopharyngoscope in the nasopharyngeal biopsy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(4): 117-118.
[10] . The endoscopic endonasal transpterygoid approach in lateral midline skull base. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 16-24.
[11] XIE Chang, YAN Bin, LI Jianxing, LU Yongtian. Anatomical and clinical evaluation of the endoscopic transoral transpharyngeal approach to the atlantoaxial. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 47-51.
[12] LÜ Zhenghua. Decompression of recurrent nerve. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 17-19.
[13] DENG Yuqin, YANG Yaqi, TAO Zezhang, KONG Yonggang, XU Yu, CHEN Shiming. The relationship between the sinusitis and anatomic variations in ostiomeatal complex. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 46-49.
[14] WANG Gang, HU Jinwang, TAO Wei, WU Changsong, WEI Pingcun. Anatomy of lacrimal sac to endoscopic transnasal dacryocystorhinostomy [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(6): 26-28.
[15] ZHAO Xinxing, ZHANG Longcheng. Research of eustachian tube dysfunction and the application of balloon dilation eustachian tuboplasty [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2015, 29(5): 83-86.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!