gms | German Medical Science

78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

16.05. - 20.05.2007, Munich

Rhinoplasty and Orthognathic Surgery

Meeting Abstract

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German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Munich, 16.-20.05.2007. Düsseldorf, Köln: German Medical Science; 2007. Doc07hno095

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Published: August 8, 2007

© 2007 Reyneke.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



The modern population is becoming increasingly aware of the benefits of esthetic surgery and septorhinoplasty is amongst the most frequently requested procedures for both esthetic and functional purposes. The patient who expresses the desire for esthetic nasal improvement may have one or more of a myriad of nasal deformities e.g., dorsal hump, bulbous nasal tip, an over- or under projected nose, an asymmetric nose, a narrow or wide nose, etc. The nose however forms part of the whole facial esthetic complex consisting of: the forehead, two eyes, two cheeks, an upper- and a lower lip, lower jaw and a chin. Harmony amongst all these anatomical structures will constitute facial beauty.

“Beauty is in the eye of the beholder” is a commonplace phrase however, are our judgments of who is beautiful purely a matter of personal taste? The answer may lie somewhere between Greek philosophy, evolutionary biology, mathematical formulae, babies, sex and personal chemistry. The cosmetic surgeon performing rhinoplasty often requires facial esthetic guidelines to achieve the best results for his patients.

Aim: The aim of the paper is to: (1) provide the surgeon contemplating rhinoplasty with guidelines for, not only evaluation of the nasal form and shape, but also to evaluate the rest of the facial esthetic complex, (2) discuss the effects that the le Fort I maxillary osteotomy may have on the nasal anatomy, (3) demonstrate surgical techniques to prevent unexpected and unwanted nasal changes following orthognathic surgery, (4) discuss the creation of a bony nasal base of the maxilla before performing rhinoplasty in cleft lip and palate, and Binder syndrome patients, (5) demonstrate the relative esthetic effects that orthognathic surgical correction of dentofacial deformities may have on the nose and (6) propose indications for combined rhinoplasty and orthognathic surgery.

Conclusion: When planning a rhinoplasty procedure the nose should not be seen in isolation but as a part of the facial esthetic complex. The best esthetic results are usually achieved following the establishment of harmony amongst all the anatomical structures of the face.