Τίτλος:
Functional tension nose as a cause of nasal airway obstruction
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Objective: The purpose of this prospective study was to evaluate the
influence of functional tension nose in nasal obstruction and to discuss
its frequency and management.
Methods: Over the years 2000-2006, 153 patients underwent revision
operation for nasal obstruction in our rhinoplastic center. Twenty-two
of them (14.3 7%)suffered from functional tension nose. All 22 patients
refused rhinoplasty during primary septoplasty. Sixteen of them had a
kyphotic nose and the rest,six cases suffered from hanging columella
(drooped nose). Eighteen of them underwent primary rhinoplasty in
combination with caudal diminution under general anesthesia. The other
four patients refused rhinoplasty, and under local anesthesia their tip
was deprojected and reprojected.
Results: Marked improvement in nasal airflow was noted at the most
recent follow-up evaluation in 20 patients out of 22 (90.91 %).The mean
length of follow-up was 8 months (ranging from 4 to 12 months). All
follow-up results were based on office examination and pre- and
postoperative computer-assisted rhinomanometry evaluation. In only two
cases results were not efficient enough.
Conclusion: Our study strongly suggests that tension nose is a usual
misdiagnosed cause of nasal obstruction. This problem is concealed under
a “kyphotic”, “big”. or “Pinocchio” nose. Usually the
functional defect is spontaneously corrected during conventional
rhinoplasty. However. tip should be deprojected and reprojected in cases
where the patient refuses cosmetic intervention and surgeon tries to
resolve his functional problem. (c) 2007 Elsevier Ireland Ltd. All
rights reserved.
Συγγραφείς:
Kantas, Ilias V.
Papadakis, Chariton E.
Balatsouras, Dimitrios
G.
Vafiadis, Marinos
Korres, Stavros G.
Panagiotakopoulou,
Aggeliki
Danielidis, Vassilios
Περιοδικό:
Auris Nasus Larynx
Εκδότης:
Elsevier Sci Ltd, Exeter, United Kingdom
Λέξεις-κλειδιά:
tension nose; nasal obstruction; rhinoplasty; kyphotic nose; drooped
nose
DOI:
10.1016/j.anl.2007.01.012
