Open Roof Deformity Correction

An open roof deformity exists after bony hump removal without proper medialization of the nasal bones.

Open roof deformity correction.

This refers to an upside down v shaped indentation between the end of the nasal bones and the start of the upper lateral cartilages along the top of the bridge. Finally under direct vision osteotomies can be performed to close the open roof deformity fig. Especially in patients with type v deviation the correction of linear deviation was the most dissatisfactory in surgical outcome. The lateral osteotomies are performed to close an open roof deformity or to narrow the nasal pyramid.

One of the most common issues present in patients seeking revision rhinoplasty is the inverted v deformity. Patients may present with depressed skin stuck down to intranasal mucosa and a persistently wide nose. The open roof deformity results from the failure to close the space between the lateral nasal bones after hump removal. Normally a low to.

Correction involves ensuring an undeflected nasal septum and recreating appropriate osteotomies that are stabilized medially. The rocker and open roof deformity are discussed in previous portions of this article. A persisting deviation of the perpendicular plate of the ethmoid bone prevents medialization of the nasal bone usually unilaterally. Correction of this deformity requires closing the space between the lateral nasal bones.

This approach is attractive from aesthetic and functional aspects because it accomplishes dorsal reduction correction of the open roof deformity preservation of the middle vault and restoration of the natural contouring of the nasal dorsum while obviating the need for osteotomies. Typically the nasal skin grows or droops and vertical lines or depressions start to appear. A cross section of the nose will appear as a trapezoid instead of the more natural triangular configuration. An additional cause of open roof deformity is overzealous nasal packing which can splint the nasal bones in a lateralized position.

It depends on how low or high the nasal bones are positioned. The use of bone dust to correct the open roof deformity in. This may be performed with either the linear single cut or the perforating technique. How to correct it.

With the former the osteotome is used to make a bony cut along the nasal facial groove. Osteotomies fractures may be necessary and on lay grafts may be used to close the gap between the nasal. Thereafter cartilaginous hump can be reduced with scalpel and bony hump can be rasped or in the case of being larger removed with osteotome.