Abstract
Every rhinoplasty operation must achieve the two interrelated goals of form and function. An attractive nose with compromised respiration is not a success, nor is an unattractive nose with improved respiration acceptable. A classic example of this challenge is the asymmetric nose in which the septal deviation causes a crooked external appearance while obstructing the internal airway. The multiple structures that influence nasal respiration must be addressed collectively as the functional factors, with primary focus on the septum, turbinates, and nasal valves. Obviously, numerous physiological factors, including mucosal changes, also influence nasal respiration, but as surgeons our focus eventually becomes more structural. Septal surgery can vary from simple excision to more complex replacement and eventually reconstruction. The nasal valves are complex, but ultimately their deficiencies are of anatomical origin, and surgery must restore their structural support. Surgeons should spend as much time planning their functional procedures as they do their aesthetic changes, to ensure that both form and function are maximized turbinate.
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Daniel, R.K., Pálházi, P. (2018). Septum, Turbinates, Valves. In: Rhinoplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-67314-1_4
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