Fixing Open Roof Deformity

The patient s nasal dorsum was evaluated by ultrasonography.

Fixing open roof deformity.

Saddle nose deformity or nasal dorsum collapse is an uncommon but devastating deformity that may require a rhinoplasty or nose job saddle nose deformity is due to loss of cartilage support in the mid nose associated with loss or weakness of septum cartilage. This approach has four steps as follows. A space is formed when the nasal bones do not come together near the top of the nose. Repairing a pointy nasal tip or another deformity of the tip is one of the most challenging of all rhinoplasty procedures.

27 year old sophie morris suffered an open roof deformity which causes a visible dent to appear over the bridge of the nose after her first cosmetic surgery in 2016. Male n 53 were enrolled and operated on with the presented technique. An open roof deformity makes the nose appear excessively wide. A total of 240 patients female n 187.

Patients may present with depressed skin stuck down to intranasal mucosa and a persistently wide nose. Hump removal frequently results in an open roof during rhinoplasty which is conventionally closed with lateral osteotomies. A keen knowledge of the normal nasal anatomy and physiology is required to recognize abnormalities and to develop a treatment plan for each individual patient that appropriately addresses both cosmetic and functional concerns. A woman developed an open roof deformity following a botched nose job.

However if the patient has a narrow bony vault lateral osteotomies are problematic. The open roof deformity. This refers to an upside down v shaped indentation between the end of the nasal bones and the start of the upper lateral cartilages along the top of the bridge. An open roof deformity exists after bony hump removal without proper medialization of the nasal bones.

Complete submembranous dissection preparation of spreader flaps harvesting of bone dust from the bony hump and placement of the bone dust. In this article the author presents a new and practical approach to fix the open roof deformity. An additional cause of open roof deformity is overzealous nasal packing which can splint the nasal bones in a lateralized position.