Assessment and Surgical Correction of The Long Nose

Document Type : Original Article

Authors

1 Otorhinolaryngology, Faculty of Medicine, Ain Shams University

2 Otorhinolaryngology 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.

Keywords

Main Subjects

Files

Share

How to cite

Statistics