Abstract
Various studies have alluded to nasal obstruction as an iatrogenic consequence of rhinoplasty. Vertical dome division improves the nasal airway by increasing the nasal valve aperture and can, in select cases, be performed solely for nasal valvular incompetence. A series of 10 patients is reviewed, and analysis of the “nasal valve” is retrospectively offered. All patients had rhinoplasty performed with vertical dome division. No additional attempt to improve the nasal valve was made. Preoperative and postoperative photographs are compared with measurements made of the alar / columella angle. All patients showed marked visible improvement of the alar / columella angle. Various studies have alluded to nasal obstruction as an iatrogenic consequence of rhinoplasty. Vertical dome division improves the nasal airway by increasing the nasal valve aperture and can, in select cases, be performed solely for nasal valvular incompetence. A series of 10 patients is reviewed, and analysis of the “nasal valve” is retrospectively offered. All patients had rhinoplasty performed with vertical dome division. No additional attempt to improve the nasal valve was made. Preoperative and postoperative photographs are compared with measurements made of the alar / columella angle. All patients showed marked visible improvement of the alar / columella angle.
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