Abstract
Functional rhinoplasty can be especially challenging in a patient who has had previous
surgery, trauma, anatomic abnormalities, or systemic disease affecting the nasal mucosa.
A thorough analysis of the type and location of the obstruction is critical, and only
after identifying the precise anatomic cause of the problem can surgical planning
begin. Scarring, altered anatomy, and disrupted tissue planes all complicate this
process. Structural support and nasal mucosa often require augmentation with autogenous
grafts from the ear, rib, or other portions of the nasal cavity. Attention to nasal
support mechanisms, the internal and external nasal valves, and internal lining during
primary surgery may help to avoid future complications. Through careful analysis and
planning, proper function may be restored to a functionally devastated nasal airway.
Keywords
rhinoplasty - revision - obstruction - functional
