[Post rhinoplastic nasal obstruction in 180 patients]

ABSTRACT

Difficulty in breathing through the nose after rhinoplasty is a serious problem. Patient dissatisfaction can be great even when cosmetic results are excellent. The etiology of nasal obstruction can be multifactorial, but is primarily the result of interplay between two factors. Unrecognized preexisting nasal conditions [such as deviated septum, turbinate hypertrophy and mucosal disease], in conjunction with decrease in nasal valve area after rhinoplasty. In order to prevent nasal obstruction after aesthetic rhinoplasty, the surgeon needs to recognize and correct the preexisting nasal deformities; and, on the other hand, sugary at or near the nasal valve area must be performed carefully and conservatively with the knowledge that narrowing in this area can cause significant air way obstruction and difficulty in breathing