Polly Beak Deformity in Rhinoplasty Workup

Updated: Mar 02, 2016
  • Author: Henry Daniel Sandel, IV, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Workup

Other Tests

See the list below:

  • Perform photographic analysis of the face and nose before repairing the deformity.

    • Standard photographs of the face for rhinoplasty include frontal, submental, lateral, and oblique views. Obtain the lateral and oblique view from both sides.

    • Align the patient's head with the Frankfurt horizontal plane when taking photographs of all views except with the view of the submental vertex.

    • Assess dynamic muscular input from the depressor septi nasi muscle with a lateral smiling view. The action of this muscle may yield a dynamic nasal-tip ptosis.

  • Video or digital computer imaging may be helpful in discussing the procedure and its goals with the patient. The images can be adjusted to illustrate the potential changes.

  • Palpate the nose.

    • Tip support is determined by depressing the domes of the lower lateral cartilages toward the posterior septal angle. The degree of depression and recoil are assessed.

    • Supratip scar is assessed by palpation. Palpation of the nasal dorsum distinguishes cartilaginous excess from scar tissue excess.