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Facial Plast Surg 2024; 40(03): 287-293
DOI: 10.1055/s-0043-1777839
Original Article

Nasal Airway Evaluation

Paloma I. Perez 
1   Department of Otolaryngology Head and Neck Surgery, Blanchfield Army Community Hospital, Fort Campbell, Kentucky
,
Christine Mei 
2   Department of Otolaryngology Head and Neck Surgery, University of Miami Miller School of Medicine, Miami, Florida
,
Robin W. Lindsay
3   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology Head and Neck Surgery, Harvard Medical School, Massachusetts Eye and Ear, Boston, Massachusetts
,
Shekhar K. Gadkaree
4   Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology Head and Neck Surgery, University of Miami Miller School of Medicine, Miami, Florida
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Abstract

The nose has several important functions including inspiration, humidification of air, and filtering of allergens. The nose also has a major role in facial harmony as the central focal point. Patients will present to the rhinoplasty surgeon in an effort to fix the inability to breathe through the nose or correct a perceived nasal deformity in the shape of the nose. Choosing the optimal techniques to effectively change the nose requires a thorough understanding of nasal anatomy and nasal mechanics. Ultimately, a complete nasal evaluation is essential in identifying what corresponds to a patient's complaints and how those issues can be addressed surgically or perhaps nonsurgically. When the nose is divided into subunits, and a systematic nasal analysis is performed, one can be confident that all components of the nasal skeleton have been assessed.

Keywords

nasal evaluation - rhinoplasty - outcome measures


Publication History

Article published online:
10 January 2024

© 2024. Thieme. All rights reserved.

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  • References

  • 1 Sowder JC, Thomas AJ, Ward PD. Essential anatomy and evaluation for functional rhinoplasty. Facial Plast Surg Clin North Am 2017; 25 (02) 141-160
    CrossrefPubMedGoogle Scholar
  • 2 Wright L, Grunzweig KA, Totonchi A. Nasal obstruction and rhinoplasty: a focused literature review. Aesthetic Plast Surg 2020; 44 (05) 1658-1669
    CrossrefPubMedGoogle Scholar
  • 3 Stewart MG, Witsell DL, Smith TL, Weaver EM, Yueh B, Hannley MT. Development and validation of the Nasal Obstruction Symptom Evaluation (NOSE) scale. Otolaryngol Head Neck Surg 2004; 130 (02) 157-163
    CrossrefPubMedGoogle Scholar
  • 4 Moubayed SP, Ioannidis JPA, Saltychev M, Most SP. The 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) for functional and cosmetic rhinoplasty. JAMA Facial Plast Surg 2018; 20 (01) 37-42
    CrossrefPubMedGoogle Scholar
  • 5 Fuller JC, Levesque PA, Lindsay RW. Assessment of the EuroQol 5-dimension questionnaire for detection of clinically significant global health-related quality-of-life improvement following functional septorhinoplasty. JAMA Facial Plast Surg 2017; 19 (02) 95-100
    CrossrefPubMedGoogle Scholar
  • 6 Gadkaree SK, Fuller JC, Justicz NS. et al. A comparative health utility value analysis of outcomes for patients following septorhinoplasty with previous nasal surgery. JAMA Facial Plast Surg 2019; 21 (05) 402-406
    CrossrefPubMedGoogle Scholar
  • 7 Gadkaree SK, Fuller JC, Justicz NS. et al. Health utility values as an outcome measure in patients undergoing functional septorhinoplasty. JAMA Facial Plast Surg 2019; 21 (05) 381-386
    CrossrefPubMedGoogle Scholar
  • 8 Hismi A, Yu P, Locascio J, Levesque PA, Lindsay RW. The impact of nasal obstruction and functional septorhinoplasty on sleep quality. Facial Plast Surg Aesthet Med 2020; 22 (06) 412-419
    CrossrefPubMedGoogle Scholar
  • 9 FACE-Q | Aesthetics. A Guide for Researchers and Clinicians. Accessed December 9, 2023 at: https://qportfolio.org/wp-content/uploads/2020/02/FACE-Q-AESTHETICS-USER-GUIDE-V1.pdf
    PubMed
  • 10 Villwock JA, Kuppersmith RB. Diagnostic algorithm for evaluating nasal airway obstruction. Otolaryngol Clin North Am 2018; 51 (05) 867-872
    CrossrefPubMedGoogle Scholar
  • 11 Spataro E, Most SP. Measuring nasal obstruction outcomes. Otolaryngol Clin North Am 2018; 51 (05) 883-895
    CrossrefPubMedGoogle Scholar
  • 12 Fuller JC, Bernstein CH, Levesque PA, Lindsay RW. Peak nasal inspiratory flow as an objective measure of nasal obstruction and functional septorhinoplasty outcomes. JAMA Facial Plast Surg 2018; 20 (02) 175-176
    CrossrefPubMedGoogle Scholar
  • 13 Mo S, Gupta SS, Stroud A. et al. Nasal peak inspiratory flow in healthy and obstructed patients: systematic review and meta-analysis. Laryngoscope 2021; 131 (02) 260-267
    CrossrefPubMedGoogle Scholar
  • 14 Barbarite E, Gadkaree SK, Melchionna S, Zwicker D, Lindsay RW. Computational fluid dynamics modeling of nasal obstruction and associations with patient-reported outcomes. Plast Reconstr Surg 2021; 148 (04) 592e-600e
    CrossrefPubMedGoogle Scholar
  • 15 Hahn S, Lee J, Friedman O. Principles of rhinoplasty. In: Sclafani AP, Sataloff RT. eds. Sataloff Comprehensive Textbook of Otolaryngology Head and Neck Surgery: Facial Plastic and Reconstructive Surgery. Delhi, India: Jaypee Brothers Medical Publishers; 2016: 429-448
    Google Scholar
  • 16 Lee MK, Most SP. Photography in Facial Plastic Surgery. Plastic Surgery Key. 2020. Accessed December 9, 2023 at: https://plasticsurgerykey.com/9-photography-in-facial-plastic-surgery/
    PubMedGoogle Scholar
  • 17 Clappier M, Tanna N. Preoperative evaluation of the rhinoplasty patient. Clin Plast Surg 2022; 49 (01) 1-11
    CrossrefPubMedGoogle Scholar