Open Roof Deformity Revision

Most revisions are complicated procedures that require an open approach.

Open roof deformity revision. Photos courtesy of steven j. Find this pin and more on revision rhinoplastyby profiles beverly hills. Furthermore the outcome of revision rhinoplasty may be harder to predict due to the primary rhinoplasty. If neglected the intranasal.

This 36 year old patient had two prior nasal operations with a nasal fracture between with a very deviated septum crooked asymmetric nasal tip crooked middle vault inverted v deformity open roof bony deformity and saddle nose. She had scooped out saddled cartilage bridge a bony bump an open roof deformity inverted v deformity in the cartilage part of her nose an over projected tip with hanging columella and a pointy tip on the right. This is called an open roof deformity and may be corrected by repeating the osteotomies ie cutting the nasal bones. Open roof deformity is one of the most common and problematic deformities in revision rhinoplasties due to failure to perform or performing incomplete ineffective uneven or unilateral osteotomies between the nasal bones and the maxilla thus impeding a smooth medialization of the nasal bones after either hump resection or humpless dorsum narrowing.

To repair an open roof deformity the bones need to be brought back together. Los angeles and beverly hills rhinoplasty and revision rhinoplasty surgeons dr. Open roof deformity when this happens the middle part of the bridge will feel unnaturally flat. A 25 year old female patient underwent revision rhinoplasty 8 years ago because she did not like the appearance of her nose and she had trouble breathing properly.

Revision rhinoplasty can address a variety of different deformities from the excessive reduction of the nasal bridge to asymmetry in the nasal tip. The edges of the bones separate and will create a bumps on the sides of the nose. When the lateral segments fail to align with the septal dorsum following osteotomies a gap which may be visually and palpably obvious results. Reconstructed with grafts from his rib.

Patients may present with depressed skin stuck down to intranasal mucosa and a persistently wide nose. An additional cause of open roof deformity is overzealous nasal packing which can splint the nasal bones in a lateralized position. Her pre operative photos shows what a typical over reduced rhinoplasty looked like. An open roof deformity exists after bony hump removal without proper medialization of the nasal bones.