Open Roof Deformity Correction

Thereafter cartilaginous hump can be reduced with scalpel and bony hump can be rasped or in the case of being larger removed with osteotome.

Open roof deformity correction.

Osteotomies fractures may be necessary and on lay grafts may be used to close the gap between the nasal. A persisting deviation of the perpendicular plate of the ethmoid bone prevents medialization of the nasal bone usually unilaterally. How to correct it. Typically the nasal skin grows or droops and vertical lines or depressions start to appear.

The lateral osteotomies are performed to close an open roof deformity or to narrow the nasal pyramid. This approach is attractive from aesthetic and functional aspects because it accomplishes dorsal reduction correction of the open roof deformity preservation of the middle vault and restoration of the natural contouring of the nasal dorsum while obviating the need for osteotomies. The use of bone dust to correct the open roof deformity in. One of the most common issues present in patients seeking revision rhinoplasty is the inverted v deformity.

Especially in patients with type v deviation the correction of linear deviation was the most dissatisfactory in surgical outcome. An open roof deformity exists after bony hump removal without proper medialization of the nasal bones. Correction involves ensuring an undeflected nasal septum and recreating appropriate osteotomies that are stabilized medially. In the senior author s experience the overall dissatisfaction rate in patients with deviated nose was up to 20 in his series.

Verification by palpation is paramount after any dorsal removal intent. This may be performed with either the linear single cut or the perforating technique. An additional cause of open roof deformity is overzealous nasal packing which can splint the nasal bones in a lateralized position. It depends on how low or high the nasal bones are positioned.

The open roof deformity results from the failure to close the space between the lateral nasal bones after hump removal. An open roof deformity makes the nose appear excessively wide. The rocker and open roof deformity are discussed in previous portions of this article. Patients may present with depressed skin stuck down to intranasal mucosa and a persistently wide nose.

Correction of this deformity requires closing the space between the lateral nasal bones. Finally under direct vision osteotomies can be performed to close the open roof deformity fig. 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.