SURGICAL CORRECTION OF POST-TRAUMATIC NASAL DEFORMITY: A CASE REPORT WITH ANTHROPOMETRIC ANALYSIS
Abstract
Background: Post-traumatic deformities of the external nose represent a complex clinical challenge in facial plastic surgery due to the combined involvement of osteocartilaginous structures and functional impairment of nasal breathing. Such deformities are frequently associated with deviation of the nasal axis, disruption of dorsal aesthetic lines, tip asymmetry, and airway obstruction, requiring a comprehensive and individualized surgical approach. Objective: To evaluate the effectiveness of comprehensive septorhinoplasty in the correction of post-traumatic nasal deformity using objective anthropometric analysis. Methods: A clinical case of a patient with post-traumatic nasal deformity was analyzed. Preoperative and postoperative assessments were performed using standardized photographic anthropometry in frontal, basal, and lateral projections. Key parameters included nasal axis alignment, symmetry of dorsal aesthetic lines, tip projection and rotation, nasolabial angle, and nostril symmetry. Surgical correction involved a comprehensive septorhinoplasty approach, including septoplasty with restoration of the L-strut, medial and lateral osteotomies, dorsal reconstruction with spreader grafts, and tip refinement using structural techniques. Results: Postoperative evaluation demonstrated significant improvement in all assessed anthropometric parameters. Nasal axis deviation was corrected with successful centralization. Symmetry of dorsal aesthetic lines was restored, and the nasal dorsum achieved a straight and harmonious contour. Tip projection and rotation were improved, resulting in normalization of the nasolabial angle from approximately 85–90° preoperatively to 95–100° postoperatively. Basal view analysis confirmed restoration of nostril symmetry and normalization of the basal triangle. No postoperative complications were observed. Conclusion: Comprehensive septorhinoplasty is an effective and reliable method for the correction of post-traumatic nasal deformities. The use of a structural surgical approach combined with objective anthropometric assessment allows for predictable restoration of both aesthetic harmony and functional outcomes.
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