gms | German Medical Science

78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2007, München

Esthetic nasal surgery and nasal function

Meeting Abstract

Suche in Medline nach

  • corresponding author Katya Assenova - Tsatitsa Joanna University Hospital, Sofia, Bulgaria
  • Rumen Benchev - Ministry of Interior, Medical institute, Sofia, Bulgaria
  • Stefan Stoyanov - Ministry of Interior, Medical institute, Sofia, Bulgaria

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e.V.. München, 16.-20.05.2007. Düsseldorf: German Medical Science GMS Publishing House; 2007. Doc07hnod484

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hnod2007/07hnod484.shtml

Veröffentlicht: 24. April 2007

© 2007 Assenova et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: Rhinoplasty is an operation, which is performed predominantly for esthetic reasons. Very often, especially if it is done by a plastic surgeon, its impact on nasal function is underestimated.

Aim: To find out and analyze the most frequent etiologic and pathogenetic causes for impaired nasal breathing after rhinoplasty and the possible ways for their prevention on the basis of the secondary nasal operations performed by us.

Material and methods: Thirty four patients with post rhinoplasty nasal obstruction were examined. Clinical and functional methods for assessment of nasal breathing were applied.

Results: Decrease of minimal cross sectional areas and nasal volumes and increase of nasal resistance were found. The evaluation of nasal obstruction with visual analog scale showed 23.5% with severe nasal obstruction and 50% with moderate obstruction. The following pathological changes were found: 18 cases with deviated nasal septum; collapsed and deformed upper lateral cartilages in 15 cases; collapsed alar cartilages in 13 cases; narrowing of the pyriform aperture in 4 cases; scars and adhesions in 11 cases and hypertrophy of the inferior turbinate in 6 cases.

Conclusion: Based on the performed observations, recommendations for functional rhinoplasty are made.