TY - JOUR AU - Park, Stephen S.; Hughley, Brian B. TI - Revision of the Functionally Devastated Nasal Airway SN - 0736-6825 SN - 1098-8793 PY - 2012 JO - Facial Plast Surg JF - Facial Plastic Surgery LA - EN VL - 28 IS - 04 SP - 398 EP - 406 DA - 2012/08/07 KW - rhinoplasty KW - revision KW - obstruction KW - functional AB - 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. PB - Thieme Medical Publishers DO - 10.1055/s-0032-1319833 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0032-1319833 ER -