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Chapter-27 Aesthetic Analysis of the Rhinoplasty Patient

BOOK TITLE: Sataloff's Comprehensive Textbook of Otolaryngology: Head & Neck Surgery (Facial Plastic and Reconstructive Surgery) - Volume 3

Author
1. Lyford-Pike Sofia
2. Boahene Kofi D O
ISBN
9789351524595
DOI
10.5005/jp/books/12699_28
Edition
1/e
Publishing Year
2016
Pages
10
Author Affiliations
1. Johns Hopkins School of Medicine, Baltimore, Maryland, USA
2. Johns Hopkins School of Medicine, Baltimore, Maryland, USA
Chapter keywords
aesthetic analysis, rhinoplasty patient, rhinoplasty, nose, nasal history, nasal airway, intranasal examination, systematic nasal–facial analysis, inflammatory nasal conditions, allergic rhinitis, vasomotor rhinitis, sinusitis, lobule, columella, nostrils, alar lobules

Abstract

This chapter discusses aesthetic analysis of the rhinoplasty patient, where preoperative encounter with a patient seeking a cosmetic alteration to their nose must include the following essential facets, such as a detailed medical or nasal history, evaluation of the nasal airway and intranasal examination, a systematic nasal–facial analysis, and assessment of patient expectations and suitability for surgery. It is fundamental that a surgeon obtains and documents a thorough medical and nasal history for each patient in the preoperative consultation as many factors influence the complexity of surgery and its outcomes. A specific nasal history must contain information on inflammatory nasal conditions such as allergic rhinitis, vasomotor rhinitis, and sinusitis as these may influence patient symptoms in the pre- and postoperative period. Careful analysis and characterization of the nasal skin are fundamental in aesthetic rhinoplasty. The base view allows for visualization of the lobule, columella, nostrils and alar lobules.

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