Abstract

The nose is one of the most important elements in facial esthetics. This is supported by the fact that in our society the most commonly requested esthetic surgery is the rhinoplasty. Many of the patients encountered by the oral and maxillofacial surgeon present with multiple functional as well as esthetic concerns, and simultaneous orthognathic and rhinoplastic surgery can be accomplished with favorable results. 1 It is important in these situations that the surgeon understand the possible changes in the nasal configuration secondary to orthognathic surgery. Because nasal dorsal deficiencies are minimally affected by maxillary surgery, simultaneous surgical correction can be accomplished. 1 The following is a case report describing a simultaneous orthognathic and rhinoplastic surgery in which nasal dorsal augmentation was accomplished using the mandibular coronoid process as an autogenous bone graft.

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