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Paula C: "Ultimately, I chose Dr. Becker because of his dedication and specialization in correcting breathing problems, controlling allery symptoms, and of course, great revision rhinoplasty! Now, with some time having passed, I can only say that I am unbelievably HAPPY with the results. Thanksful that Dr. Becker did such a great job!" Read More
THE SEVERELY TWISTED NOSE
![]() LECTURE ON OSTEOTOMIES
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ยป Complications of Rhinoplasty - Page 14
Complications of Rhinoplasty - Page 14Deviated Nose Persisting deviation after rhinoplasty may occur at the upper third, middle third, or tip of the nose, or may occur postoperatively in a previously straight nose. Preoperative anatom ical diagnosis is a critical component of successful treatment. Persisting deviation of the nasal bones may occur due to greenstick fractures or other problems with osteotomies. Inherent deviations in the cartilage of the middle nasal vault may prove especially challenging. Also, hump removal may uncover asymmetries that result in postoperative deviation where none existed previously. Tip asymmetry may be over-looked preoperatively, or it may be due to asymmetrical excision of lateral crura, asymmetrical placement of a columellar strut, or placement of an overlong columellar strut, as well as other causes. A number of surgical maneuvers are available to address the deviated nose. UPPER THIRD OF THE NOSE Rocker Deformity Dorsal Irregularities Bony dorsal irregularities are a well-recognized compli cation of rhinoplasty. In the search for an approach that could reliably assure a smoother contour without sharp edges, irregularities, or asymmetries, surgeons have reported on the use of various onlay grafts, including homograft sclera,' gelatin film, temporoparietal fascia," and superficial musculo-aponeurotic system (SMAS). Becker et al have described the use of a powered drill or rasp, which they thought might decrease the incidence of dorsal irregularities. The multiple proposals in the literature on this subject may suggest the lack of a completely satisfactory solution. "Open-Roof" Deformity Ask Dr. Becker a question or arrange an appointment for a nose surgery consultation by calling 856-589-NOSE (6673) or emailing us at info@therhinoplastycenter.com. NOTE: CLICK HERE for information regarding privacy of your medical information. Additionally, all website users must agree to the terms and conditions of this site. Please CLICK HERE to review terms of use. |






