Rhinoplasty is plastic surgery of the nose that restores the correct relationship of anatomical structures. The nose is the initial part of the upper respiratory tract, consisting of bony and cartilaginous sections, which, when connected, form an irregular triangular pyramid covered with skin. In nasal breathing, the nasal septum plays an important role. The external nose, as an object of aesthetic surgery, is an important anatomical formation of the face. The nose and nasal septum have many functions, such as carrying air, purifying, warming, and moisturizing air. The correct relationship of the anatomical structures of the nose ensures a positive facial perception.
The smell is an important function of the nose, which ensures the body's relationship with the external environment. An equally important function of the nose is the resistor function - it is the inspiratory resistance of the nasal cavity, which ensures the creation of negative intrathoracic pressure during inhalation, which in turn enhances pulmonary ventilation and venous outflow to the lungs and heart. Impaired nasal breathing during deformation of the external nose and nasal septum leads not only to chronic hypoxia, but also causes diseases of the lungs, upper respiratory tract, and cardiovascular system. Restoring the physiological function of the nose - nasal septum plastic surgery is just as important as aesthetic Rhinoplasty.
Performing aesthetic rhinoplasty requires an otolaryngologist to have a thorough knowledge of the surgical technique and an understanding of the delicate anatomical and topographic structures that make up the nose. A deformed nose leaves an unattractive impression even if the whole face is beautiful.
In rhinology, the function is almost always form-dependent.
Patients of rhinosurgeons with deformities of the nasal skeleton, pronounced signs of asymmetry, which are, as a rule, an anomaly in the development of the facial skeleton, is primarily concerned with the aesthetic perception of the nose.
It is equally important to restore the aesthetic shape of the nose simultaneously with the restoration of its physiological functions of the nasal septum.
The participation of an otorhinolaryngologist surgeon who knows the methods of intranasal surgery, which has been developed over the years, seems to be a priority. The otorhinolaryngologist has two interrelated tasks: restoration of the functions of the nasal septum and the valve mechanism that regulates nasal breathing, and surgical correction of a cosmetic defect that improves the aesthetic perception of the face and nose as a whole. It is inappropriate to consider them separately.
Aesthetic Rhinoplasty restores physiological functions, improves the patient's quality of life, and creates psychological comfort. The problem of rhinoplasty is of great interest to specialists in various fields, but the widest range of surgical interventions is carried out by otorhinolaryngologists. In this case, the deformity of the nose is often combined with deformities of the nasal septum and other parts of the nose.
A lot of works in domestic and foreign literature are devoted to the correction of nose deformities, a large number of methods of surgical interventions have been proposed. Despite this, according to various authors, there is a high percentage of unsatisfactory results when correcting the nose. At the same time, the number of unsatisfactory results is associated with errors in choosing the tactics of surgical treatment. Given the constant growth of injuries and an increase in the number of patients with post-traumatic nasal deformities, accompanied by nasal breathing disorders and leading to diseases of various organs and systems of the body, there is a need for endonasal surgical intervention.
Many questions guiding the doctor to the choice of surgical treatment tactics depend on the degree of deformity complexity, deviation from the midline, retraction of the nasal dorsum, hump, wide back, or tip. Thus, the problem of finding methods of surgical interventions aimed at improving the results of surgical treatment includes endonasal surgery to restore nasal breathing in a cosmetically altered nose.