Nasal Open Roof Deformity

Sophie was happy with the procedure at first but after eight months things went wrong.

Nasal open roof deformity.

An open roof deformity makes the nose appear excessively wide. However if the patient has a narrow bony vault lateral osteotomies are problematic. Moreover the election of the technique responds to surgeon s preference. But eight months later a visible dent appeared in the bridge of her nose known as an open roof deformity.

Typically the nasal skin grows or droops and vertical lines or depressions start to appear. Alongside this ms morris also suffered from an inverted v deformity where the lower end of the nasal bones visibly connect to the cartilage. If neglected the intranasal. Hump removal frequently results in an open roof during rhinoplasty which is conventionally closed with lateral osteotomies.

In this article the author presents a new and practical approach to fix the open roof deformity. A space is formed when the nasal bones do not come together near the top of the nose. Nasal osteotomies are a cornerstone step for closing an open roof deformity after dorsal hump surgery. A keen knowledge of the normal nasal anatomy and physiology is required to recognize abnormalities and to develop a treatment plan for each individual patient that appropriately addresses both cosmetic and functional concerns.

When a bump is made smaller the top of the bones is shaved or cut shorter to reduce the bump. An open roof deformity exists after bony hump removal without proper medialization of the nasal bones. Posttraumatic nasal deformity is a complex problem that requires astute preoperative assessment and nasal analysis. On profile view a large dorsal hump causes the nose to look like it has a big bump.

Open roof deformity the nasal bones are not so much like a pyramid but more like an arched covered bridge or tunnel. It depends on how low or high the nasal bones are positioned. How to correct it. Osteotomies fractures may be necessary and on lay grafts may be used to close the gap between the nasal bones.

After the bone is sliced away the nose looks great on profile view. The best way to explain an open roof deformity is to start by explaining hump reduction rhinoplasty. The hump is removed with a scalpel essentially a slice of bone is taken away. Notwithstanding the optimal method of nasal osteotomy remains controversial as evidenced by the variety of approaches with no consensus between authors.