Correction of Hump Nose Considering the Characteristics of Korean Nose / 대한이비인후과학회지

ABSTRACT

The Korean hump nose often differs from Caucasian hump nose in that the size of the nasal hump is not prominent and the hump is frequently associated with a low nasal dorsum and radix with under-projected nasal tip. Therefore, typical reductive rhinoplasty techniques are not effective in managing the characteristic anatomy of the Korean hump nose. Because Korean hump nose patients have all kinds of nasal deformity including low dorsal profile, abnormal tip projection, tip rotation and deviation, surgeons should be skilled at various techniques of rhinoplasty. Removal of hump should be performed gradually considering the balance of nasal tip and nasal dorsum and radix. Small hump with low radix can be corrected by radix augmentation. If the hump is big, the hump should not be remained by too conservative removal of the hump. Most hump in Korean nose may be corrected well by using nasal tip and dorsal augmentation with the appropriate hump removal. The strengthening and augmentation of nasal structure using autologous cartilage may accomplish the balanced correction of hump nose aesthetically and functionally with tailored removal of hump in Korean patients.