Female patient with nasal obstruction
secondary to external/internal valve collapse following rhinoplasty X 2
and hypertrophic turbinates.
FINDINGS: Narrow bilateral external valve with right worse than
left and divided dome; 3 + scar debulked from tip, 3+ inverted V
with left greater than right, composite grafts (5 mm X 15 mm); open
roof deformity; significant alar retraction with Right alar
retraction more than left, over-rotated, short nose.
Procedure: Tertiary Revision rhinoplasty with bilateral composite
grafts, conchal cartilage harvest, deep temporalis fascia grafts, spreader
grafts, radix/upper dorsal onlay graft, columellar strut, lateral crural
strut grafts and infratip lobular graft
Comment: Her postoperative nasal appearance reveals an improved and yet
functional nose. Her airway is improved.
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