Nasal Open Roof Deformity

If neglected the intranasal.

Nasal open roof deformity.

A space is formed when the nasal bones do not come together near the top of the nose. Typically the nasal skin grows or droops and vertical lines or depressions start to appear. Sophie was happy with the procedure at first but after eight months things went wrong. Patients may present with depressed skin stuck down to intranasal mucosa and a persistently wide nose.

Osteotomies fractures may be necessary and on lay grafts may be used to close the gap between the nasal bones. But eight months later a visible dent appeared in the bridge of her nose known as an open roof deformity. However if the patient has a narrow bony vault lateral osteotomies are problematic. Open roof deformity the nasal bones are not so much like a pyramid but more like an arched covered bridge or tunnel.

The best way to explain an open roof deformity is to start by explaining hump reduction rhinoplasty. In this article the author presents a new and practical approach to fix the open roof deformity. An open roof deformity makes the nose appear excessively wide. On profile view a large dorsal hump causes the nose to look like it has a big bump.

Alongside this ms morris also suffered from an inverted v deformity where the lower end of the nasal bones visibly connect to the cartilage. Nasal osteotomies are a cornerstone step for closing an open roof deformity after dorsal hump surgery. An open roof deformity exists after bony hump removal without proper medialization of the nasal bones. An additional cause of open roof deformity is overzealous nasal packing which can splint the nasal bones in a lateralized position.

Moreover the election of the technique responds to surgeon s preference. Posttraumatic nasal deformity is a complex problem that requires astute preoperative assessment and nasal analysis. When the lateral segments fail to align with the septal dorsum following osteotomies a gap which may be visually and palpably obvious results. When a bump is made smaller the top of the bones is shaved or cut shorter to reduce the bump.

After the bone is sliced away the nose looks great on profile view. The hump is removed with a scalpel essentially a slice of bone is taken away. How to correct it. Notwithstanding the optimal method of nasal osteotomy remains controversial as evidenced by the variety of approaches with no consensus between authors.