Open Roof Deformity Revision

Furthermore the outcome of revision rhinoplasty may be harder to predict due to the primary rhinoplasty.

Open roof deformity revision.

She had scooped out saddled cartilage bridge a bony bump an open roof deformity inverted v deformity in the cartilage part of her nose an over projected tip with hanging columella and a pointy tip on the right. Los angeles and beverly hills rhinoplasty and revision rhinoplasty surgeons dr. The edges of the bones separate and will create a bumps on the sides of the nose. When the lateral segments fail to align with the septal dorsum following osteotomies a gap which may be visually and palpably obvious results.

Litner have extensive experience correcting these and many other rhinoplasty deformities. An additional cause of open roof deformity is overzealous nasal packing which can splint the nasal bones in a lateralized position. Most revisions are complicated procedures that require an open approach. Patients may present with depressed skin stuck down to intranasal mucosa and a persistently wide nose.

A 25 year old female patient underwent revision rhinoplasty 8 years ago because she did not like the appearance of her nose and she had trouble breathing properly. Her pre operative photos shows what a typical over reduced rhinoplasty looked like. Find this pin and more on revision rhinoplastyby profiles beverly hills. An open roof deformity exists after bony hump removal without proper medialization of the nasal bones.

This closes the open roof created by taking off the top of the nasal bridge. Revision rhinoplasty can address a variety of different deformities from the excessive reduction of the nasal bridge to asymmetry in the nasal tip. To repair an open roof deformity the bones need to be brought back together. Reconstructed with grafts from his rib.

Open roof deformity is one of the most common and problematic deformities in revision rhinoplasties due to failure to perform or performing incomplete ineffective uneven or unilateral osteotomies between the nasal bones and the maxilla thus impeding a smooth medialization of the nasal bones after either hump resection or humpless dorsum narrowing. Photos courtesy of steven j. This is called an open roof deformity and may be corrected by repeating the osteotomies ie cutting the nasal bones. If the nasal bones are not completely closed then you may feel the free edges of the nasal bones.