Abdelhamid, A., El-Sersy, H., Rabie, A., El-Samny, T., Aleem, M. (2022). Assessment and Surgical Correction of The Long Nose. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 23(23), 1-11. doi: 10.21608/ejentas.2022.126316.1480
Amr Ossama Abdelhamid; Hesham El-Sersy; Amr Rabie; Talaat El-Samny; Mohammed Aleem. "Assessment and Surgical Correction of The Long Nose". Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 23, 23, 2022, 1-11. doi: 10.21608/ejentas.2022.126316.1480
Abdelhamid, A., El-Sersy, H., Rabie, A., El-Samny, T., Aleem, M. (2022). 'Assessment and Surgical Correction of The Long Nose', Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 23(23), pp. 1-11. doi: 10.21608/ejentas.2022.126316.1480
Abdelhamid, A., El-Sersy, H., Rabie, A., El-Samny, T., Aleem, M. Assessment and Surgical Correction of The Long Nose. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 2022; 23(23): 1-11. doi: 10.21608/ejentas.2022.126316.1480
Assessment and Surgical Correction of The Long Nose
1Otorhinolaryngology, Faculty of Medicine, Ain Shams University
2Otorhinolaryngology department, Faculty of Medicine, Ain Shams University
Abstract
Introduction: The long nose represents one of the most undesirable features in facial aesthetics leading to facial disharmony. Despite being a common feature, review of the surgical literature shows that little attention has been given to analyze and manage the long nose. Aim: Identify the causes of long nose in the Egyptian population and proposed a surgical algorithm for correction of the long nose deformity. Patients and Methods: Fifty patients with long nose deformity were recruited in this study. Assessment to identify cause of long nose in addition to pre-operative measurements of nasal length, projection, nasolabial and nasofrontal angles were recorded and compared with the postoperative measurements after correction with the proposed algorithm. Results: Multifactorial causes contribute to the long nose deformity. Most common cause in our study is lack of nasal tip support in 94% of the cases, this was due to either long weak inferiorly oriented lower lateral cartilages in 35 patients or short weak medial crura in 12 patients. 76% of the cases had an under-projected tip in association with the long nose deformity. Our proposed surgical algorithm shows highly significant statistical difference between the pre-operative and post-operative nasal length as well as nasal tip projection. Conclusion: Multiple factors contribute to the long nose deformity. Egyptians most commonly have a long nose with under-projected tip due to lack of nasal tip support. Following a Surgical algorithm in rhinoplasty is helpful stepwise approach to plan for surgery however each operation must be tailored accordingly to each patient.
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