Appendix B - Guide to Nasal Analysis

NASAL ANALYSIS
General

Skin quality: Thin, medium, or thick

Primary descriptor (i.e., why is the patient here): For example, " big," " twisted," 1M large hump"

Frontal View

Twisted or straight: Follow brow—tip aesthetic lines Width: Narrow, wide, normal, " wide—narrow—wide" Tip: Deviated, bulbous, asymmetric, amorphous, other

Base View

Triangularity: Good versus trapezoidal

Tip: Deviated, wide, bulbous, bifid, asymmetric

Base: Wide, narrow, or normal. Inspect for caudal septal deflection

Columella: Columellar/lobule ratio (normal is 2:1 ratio); status of medial crural footplates.

Lateral View

Nasofrontal angle: Shallow or deep

Nasal starting point: High or low

Dorsum: Straight, concavity, or convexity; bony, bony—cartilaginous, or cartilaginous (i.e., is convexity primarily bony, cartilaginous, or both)

Nasal length: Normal , short, long

Tip projection: Normal , decreased, or increased

Alar—columellar relationship: Normal or abnormal

Naso—labial angle: Obtuse or acute

Oblique View

Does it add anything, or does it confirm the other views?

Many other points of analysis can be made on each view, but these are some of the vital points of commentary.

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