eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Cosmetic Surgery

Rhinoplasty, Postrhinoplasty Nasal Obstruction: Workup

Author: Thomas Romo III, MD, FACS, Chief, Clinical Instructor, Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, New York Eye and Ear Infirmary
Coauthor(s): James M Pearson, MD, Staff Physician, Department of Otolaryngology - Head and Neck Surgery, New York Eye and Ear Infirmary; Paul Presti, MD, Staff Physician, Department of Otolaryngology - Head and Neck Surgery, New York Eye and Ear Infirmary; Haresh Yalamanchili, MD, Staff Physician, Department of Otolaryngology-Head and Neck Surgery, The New York Eye and Ear Infirmary
Contributor Information and Disclosures

Updated: Oct 12, 2007

Workup

Imaging Studies

  • A well-performed history and physical examination obviate the need for imaging studies (ie, CT scan, MRI).

Diagnostic Procedures

  • Rhinomanometry, conventional or acoustic, provides an objective measurement of nasal airway resistance.

More on Rhinoplasty, Postrhinoplasty Nasal Obstruction

Overview: Rhinoplasty, Postrhinoplasty Nasal Obstruction
Workup: Rhinoplasty, Postrhinoplasty Nasal Obstruction
Treatment: Rhinoplasty, Postrhinoplasty Nasal Obstruction
Follow-up: Rhinoplasty, Postrhinoplasty Nasal Obstruction
References

References

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  3. Grymer LF. Reduction rhinoplasty and nasal patency: change in the cross-sectional area of the nose evaluated by acoustic rhinometry. Laryngoscope. Apr 1995;105(4 Pt 1):429-31. [Medline].

  4. Cole P, Chaban R, Naito K, Oprysk D. The obstructive nasal septum. Effect of simulated deviations on nasal airflow resistance. Arch Otolaryngol Head Neck Surg. Apr 1988;114(4):410-2. [Medline].

  5. Kern EB, Wang TD. Nasal valve surgery. In: Daniel RK, Regnault P, eds. Aesthetic Plastic Surgery - Rhinoplasty. 1st ed. Baltimore, Md: Lippincott Williams & Wilkins; 1993:. 613-30.

  6. Lam DJ, James KT, Weaver EM. Comparison of anatomic, physiological, and subjective measures of the nasal airway. Am J Rhinol. Sep-Oct 2006;20(5):463-70. [Medline].

  7. Romo T 3rd, Sclafani AP, Sabini P. Use of porous high-density polyethylene in revision rhinoplasty and in the platyrrhine nose. Aesthetic Plast Surg. May-Jun 1998;22(3):211-21. [Medline].

  8. Constantian MB, Clardy RB. The relative importance of septal and nasal valvular surgery in correcting airway obstruction in primary and secondary rhinoplasty. Plast Reconstr Surg. Jul 1996;98(1):38-54; discussion 55-8. [Medline].

  9. Andre R, Paun S, Viyk H. Endonasal Spreader Graft Placemment as Treatment for Internal Nasal Valve Insufficiency. Arch Facial Plast Surg. 2004;Jan/Feb; 6(1):36-40. [Medline].

  10. Pontell J, Slavit DH, Kern EB. The role of outfracture in correcting post-rhinoplasty nasal obstruction. Ear Nose Throat J. Feb 1998;77(2):106-8, 111-2. [Medline].

  11. Andre RF, D'Souza AR, Kunst HP, Vuyk HD. Sub-alar batten grafts as treatment for nasal valve incompetence; description of technique and functional evaluation. Rhinology. Jun 2006;44(2):118-22. [Medline].

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  13. Rhee J, Poetker D, Smith T, et al. Nasal Valve Surgery Improve Disease Specific Quality of life. Laryngoscope. 2005;March; 115:437--440. [Medline][Full Text].

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  24. Rombaux P, Liistro G, Hamoir M, Bertrand B, Aubert G, Verses T, et al. Nasal obstruction and its impact on sleep-related breathing disorders. Rhinology. Dec 2005;43(4):242-50. [Medline].

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Further Reading

Keywords

postrhinoplasty nasal obstruction, cosmetic nose surgery, nose reconstruction, nasal obstruction, post-rhinoplasty nasal obstruction, postrhinoplasty breathing difficulty, post-rhinoplasty breathing difficulty, nasal valve obstruction, deviated nasal septum, turbinate hypertrophy, nasal mucosa disease, airway impairment, aesthetic rhinoplasty, aesthetic rhinoplasty complications, rhinoplasty complication, nasal valvular dysfunction, nasal valve dysfunction, inferior turbinate hypertrophy, rhinoplasty surgical damage, rhinoplasty surgery damage, butterfly graft, spreader graft, flaring sutures, septoplasty, difficulty breathing, deviated septum, acoustic rhinometry

Contributor Information and Disclosures

Author

Thomas Romo III, MD, FACS, Chief, Clinical Instructor, Department of Otolaryngology, Division of Facial Plastic and Reconstructive Surgery, New York Eye and Ear Infirmary
Thomas Romo III, MD, FACS is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American Medical Association, and American Rhinologic Society
Disclosure: Nothing to disclose.

Coauthor(s)

James M Pearson, MD, Staff Physician, Department of Otolaryngology - Head and Neck Surgery, New York Eye and Ear Infirmary
Disclosure: Nothing to disclose.

Paul Presti, MD, Staff Physician, Department of Otolaryngology - Head and Neck Surgery, New York Eye and Ear Infirmary
Disclosure: Nothing to disclose.

Haresh Yalamanchili, MD, Staff Physician, Department of Otolaryngology-Head and Neck Surgery, The New York Eye and Ear Infirmary
Haresh Yalamanchili, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Medical Editor

Gregory Branham, MD, Vice-Chair, Director, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Saint Louis University School of Medicine
Gregory Branham, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Physician Executives, and Missouri State Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Dean Toriumi, MD, Department of Otolaryngology, Associate Professor, University of Illinois Medical Center
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: UST Grant/research funds Consulting

 
 
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