Revision septorhinoplasty. Young male patient with a history of nasal trauma, nasal obstruction and previous nasal surgery. Had several previous rhinoplasties and septoplasties to correct nasal deviation and nasal obstruction. Found on examination to have a severe crooked nasal deformity, asymmetric tip and persistent septal deviation. The septal deviation was of the most anterior portion of the septum. The significant deviation can be seen on the pre-operative base view within the left nostril. The posterior septum had been removed through the previous septoplasties. The external deviation and septal deviation were addressed through a revision septorhinoplasty with the use of rib cartilage to reconstruct the nasal septum and address the crooked deformity. An extracorporeal septoplasty and septal reconstruction was performed with rib cartilage. The nasal tip was reconstructed to create symmetry with lateral crural strut grafts and lateral crural repositioning. Post-operatively, significant improvement of the deviation is found and the patients breathing obstruction resolved. Seen here are his 6 month post-operative follow-up photos including close-up views of the nose.
- Anthony Bared, M.D., F.A.C.S.
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- United States, FL, Miami, 6280 Sunset Dr #506, 33143
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