Rhinoplasty: Q&A
Ask a QuestionDoes Bringing in the Side Lower Bones of the Nose Affect the Airway in Any Way?
Thank you for the helpful information to my earlier question of whether or not the lower side bones can be brought in medially towards the dorsum of the nose. I was wondering if this proc edure changes the airway size in any way or impacts breathing ability?
Tags:
6 Doctor Answers |
Asked by
elise1984
in Cleveland, OH
+1
Reduction rhinoplasty affects nasal airway
Narrowing the nose by moving in the nasal bones towards the middle (lateral osteotomies) is an important and frequently used part of the surgical treatment plan to improve nasal appearance, especially after hump reduction. The nasal bones are attached to the upper cartilages of the nose and so they are also narrowed with this procedure. The internal nasal valve is narrowed, causing additional airway resistance in the valve. There are compensatory maneuvers that can also be performed to...
more
+1
Nasal airway and manipulation of nasal bones
What you are referring to is called a "lateral osteotomy" done to narrow a "wide nose" and also done to correct what is known as an "open roof" deformity, which is resultant after e.g. removing a nasal hump and having an underlying defect (that is closed by moving the nasal bones together). Normally this does not affect the nasal airway, but it can. I would recommend a thorough discussion with either a plastic surgeon or ENT specialist to discuss these...
more
+1
Lateral Osteotomy, Airway Narrowing, and Spreader Grafts
Lateral osteotomies are performed to reduce/close an open roof deformity following dorsal hump reduction. In many situations this can be done without any airway compromise.
Attached to the caudal (lower) edge of the lateral nasal bones are the upper lateral cartilages. The upper lateral cartilages will move with the nasal bones following lateral osteotomy. Thus, as the lateral nasal bones are moved medially, the upper lateral cartilages move medially as well; this can narrow the airway,...
more
You might also like...
Real Stories
Definitely Worth It! - Vancouver, BC
I've always wanted to have rhinoplasty ever since I was a little girl. My nose is the...
+1
Lateral osteotomies
Lateral osteotomies are necessary to close an open roof deformity. It should not affect the airway significantly.
+1
Narrowing the nasal bones and the nasal airway
When the nasal bones are narrowed you do run the risk of compromising the nasal airway. Essentially you are making the area smaller through which you are breathing. Depending on the amount of narrowing that is perfomed, you may have a sense of a tighter or more obstructed airway. Because the nasal bones are also attached to the cartilages just below them, as the bones are narrowed, they can bring in the upper lateral cartilages as well. This also can contribute to...
more
Saint Louis Facial Plastic Surgeon
+1
Narrow
Performing lateral osteotomies to bring in the sides is almost mandatory to close the open roof created by hump removal. If done properly there should be no problems
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
Comments (0)