Functional Rhinoplasty
External Anatomy of Nose
- Nasal Bones
- Upper Lateral Cartilages
- Lower Lateral Cartilages
- Nasal Septum/Columella
- Soft Tissue Envelope (Skin and Muscle)
Internal Anatomy
- Nasal Septum
- MIddle and Inferior Turbinates
- Sinus Drainage Pathways for the (Maxillary, Ethmoid, & Frontal Sinuses)
Internal Nasal Valve
- Formed by the junction of the Nasal Septum and the Upper Lateral Cartilages
- Narrowest portion of the Nasal Airway
- Normal valve angle 10-15 degrees
External Nasal Valve
- Inferior to the Internal Nasal Valve
- Lateral border: Nasal Ala
- Medial border: Septum and Columella
- Common area of "sidewall collapse" on inspiration
Anatomic Nasal Obstruction Symptoms
- Consistent Difficulty Breathing through one or both nostrils
- Need for external devices (Breathe Right Strips) to sleep
- Fails to improve with topical application of medications
Surgical Treatment
Goals:
- Remove anatomic obstructions
- Straighten the Deviated Septum
- Prevent Internal and External Valve Collapse
- Strengthen the nasal framework