18-24 year old male treated with Rhinoplasty
20 yo male with a deviated nose and twisted, fractured septum. He had a nasal fracture in 7th grade and had difficulty breathing which interfered with both sleep and exercise. A preoperative CT scan also discovered bilateral concha bullosa (air filled middle turbinate).
He underwent an open rhinoplasty with major septal reconstruction, bilateral spreader grafts (L double, R single), columellar strut, asymmetric osteotomies. His inferior turbinates were reduced with powered inferior turbinoplasty and the middle turbinate concha bullosa were reduced.
He is breathing great .