Functional Nasal Surgery | Journal CME Article-Journal CME Article: Functional Nasal Surgery Article

Journal CME Article: Functional Nasal Surgery Article

Pdf Summary

The article discusses the functional anatomy of the nose, emphasizing the importance of anatomical structures in rhinoplasty and nasal airflow correction. Rhinoplasty, often seen as a cosmetic procedure, involves complex anatomical considerations that affect both appearance and function, particularly nasal airflow.<br /><br />Nasal airflow dysfunction is frequently attributable to two key anatomical structures: the septum and inferior turbinates. Deformities in these structures can lead to significant airflow limitations at critical cross-sectional areas within the nose, such as the internal and external nasal valves. The article outlines that addressing nasal obstruction requires a comprehensive assessment to identify all possible contributing factors, as focusing on only the most obvious issue may yield unsatisfactory results.<br /><br />The septum can be affected by intrinsic forces, such as growth discrepancies, or extrinsic factors, which may lead to deviations. These deformities are classified into three categories: caudal septal deviation, concave dorsal deformity (C-shaped), and concave/convex dorsal deformities (S-shaped). Additionally, nasal turbinates, especially the inferior turbinate, play a role in regulating airflow and can become enlarged due to various factors, impacting nasal airway function.<br /><br />Functional nasal surgery, also referred to as functional rhinoplasty, aims to surgically correct anatomical obstructions to improve nasal airflow and thereby enhance patients' breathing and overall satisfaction. The procedure is intricately tied with cosmetic rhinoplasty, as addressing one aspect often affects the other.<br /><br />The document emphasizes the significance of a thorough functional nasal assessment, involving history-taking, patient-reported outcome measures, physical examination, and adjunct imaging. Precise evaluation of nasal airflow obstruction helps in tailoring surgical interventions for septal deformities, inferior turbinate hypertrophy, and nasal valve collapses. The article also provides insights into various operative techniques and current evidence supporting their efficacy. Overall, it highlights the need for a methodical approach in achieving both functional and aesthetic outcomes in nasal surgeries.

Keywords

functional anatomy

rhinoplasty

nasal airflow

septum

inferior turbinates

nasal obstruction

septal deformities

functional nasal surgery

nasal valve collapse

cosmetic rhinoplasty