Case 14


Case 14

[Hamilton\, Jason S.]

Major Deformity

Asymmetric tip

Minor Deformities

Bilateral tip bossae, over-projected tip


This 53-year-old woman had a rhinoplasty at age 18 for treatment of a deviated septum, large dorsal hump, and over-projected nasal tip. In the years following surgery, the patient developed progressive nasal obstruction and worsening tip asymmetry, with visible cartilage irregularity ( Fig. 14.1A–H ).

Fig. 14.1 (A–D) Preoperative photos of patient.

Analysis of Preoperative Photos

The tip is over-projected. The patient’s thin skin reveals bilateral tip bossae and a visible cleft in the infratip lobule that extends between the medial crura. The medial and intermediate crura are twisted and asymmetric. The left lateral crus is concave.

Only gold members can continue reading. Log In or Register to continue

Stay updated, free articles. Join our Telegram channel

Jul 7, 2020 | Posted by in OTOLARYNGOLOGY | Comments Off on Case 14

Full access? Get Clinical Tree

Get Clinical Tree app for offline access