In records documenting rhinitis or inferior turbinate hypertrophy, other findings contributing to nasal obstruction also appear together. In one patient, a CT scan revealed a severe bend in the septum, right inferior turbinate hypertrophy, and abnormal findings in the paranasal sinuses. Another patient experienced an overall improvement in nasal obstruction following prior inferior turbinate surgery, yet deviation of the septum was observed again.
This collection of cases distinguishes between the general term rhinitis, actual documented examination findings, and the specific surgical procedures performed. Read through to see whether a surgical plan addressed both the septum and inferior turbinates together, and what changed following previous functional surgery. Because procedures addressing cosmetic nasal appearance can be included alongside records of functional discomfort, it is helpful to review external before-and-after photos and breathing-related descriptions separately.
View before-and-after cases ↓Comprehensive rhinoplasty guide
This is a revision rhinoplasty case where the patient experienced a drooping tip, a deviated septum, and nasal obstruction after previous surgery. The septum was reconstructed using autologous rib cartilage, and silicone implant replacement along with rhinitis surgery was performed using a closed approach.
Preoperative condition · Postoperative record
A case where post-surgical trauma caused a septal tear, resulting in a crooked nose and nostril asymmetry. Septal reconstruction was performed using autologous rib cartilage, along with realigning the columellar central axis and replacing the implant.
Preoperative condition
A case involving a long, drooping nasal tip and nasal obstruction following previous rhinoplasty with a silicone implant and septal cartilage. The nasal tip was corrected using autologous rib cartilage, performed concurrently with septoplasty, inferior turbinate reduction, and synechia adhesiolysis.
Preoperative condition
A revision rhinoplasty case where the septum was depleted due to excessive cartilage use in prior surgeries. The septum was reconstructed using autologous rib cartilage, a cartilage fragment on the bridge was removed, and silicone implant replacement was combined with osteotomy.
Preoperative condition · Postoperative record
We extended the septum with autologous rib cartilage and corrected the nasolabial angle to improve an upturned nasal tip and a long philtrum. Lateral osteotomy, a custom silicone implant, and rhinitis surgery were performed concurrently.
Preoperative condition
Residual facial asymmetry and a deviated septum following double jaw surgery were corrected using autologous rib cartilage reconstruction. Lateral osteotomy, precision carving of a silicone implant, and rhinitis surgery were performed concurrently.
Preoperative condition · Postoperative record
Septal cartilage damaged from previous surgeries was reconstructed using autologous rib cartilage, and the lower lateral cartilages were restored. Lateral osteotomy and rhinitis surgery were performed concurrently to correct the crooked nose and nostril asymmetry.
Preoperative condition
Lost lower lateral cartilage was reconstructed using autologous rib cartilage, and asymmetric, pinched nostrils were corrected. By lowering the radix, the appearance of a long nose was reduced, and surgery for rhinitis and nasal valve stenosis was performed concurrently.
Preoperative condition
Contracture and septal defect resulting from repeated surgeries were reconstructed using autologous rib cartilage. For the retracted columella, retroauricular free skin flap grafting and perichondrium grafting were performed to restore its shape.
Preoperative condition
In a primary rhinoplasty patient, a severely deviated septum was reconstructed using autologous rib cartilage, and hypertrophied inferior turbinates were reduced. Dermis was grafted into the depressed alar region, and the nasolabial angle was adjusted.
Preoperative condition
An uneven nasal bridge, damaged septal cartilage, and nasal obstruction were corrected by removing the existing silicone implant and filler, followed by autologous rib cartilage reconstruction, re-insertion of a customized silicone implant, and septoplasty with inferior turbinoplasty.
Preoperative condition
A protruding dorsal hump, drooping long nose, crooked nose, and nasal obstruction were addressed together using autologous rib cartilage tip support, lateral osteotomy, septoplasty for a deviated septum, and inferior turbinate surgery.
Preoperative condition
A long nose, drooping nasal tip, crooked nasal bridge, and nasal obstruction remaining after prior functional surgery were corrected using autologous rib cartilage tip plasty, partial septal reconstruction, and lateral osteotomy.
Preoperative condition
To resolve a damaged septum, an upturned nasal tip, and rhinitis-related nasal obstruction after multiple surgeries, autologous rib cartilage septal reconstruction and inferior turbinate reduction were performed.
Preoperative condition
In a patient presenting with columellar retraction and a pinched right alar rim following rhinoplasty with silicone and donor rib cartilage, the existing materials were removed and reconstruction of the septum and alar cartilage was performed using autologous rib cartilage.
Preoperative condition
To correct the residual deviated nasal bone, dorsal hump, and nasal obstruction remaining after a previous silicone rhinoplasty, the existing implant was removed and lateral osteotomy, autologous rib cartilage tip plasty, and septoplasty were performed.
Preoperative condition
To improve an inherently low and wide nose along with rhinitis symptoms, primary rhinoplasty was performed using donor rib cartilage for tip support, a customized silicone implant for the bridge, and septoplasty.
Preoperative condition
To resolve a persistent drooping tip and dorsal hump deformity after filler and PDO thread lifting, foreign material was removed, followed by nasal tip reconstruction using autologous rib cartilage, a silicone implant on the nasal bridge, and septoplasty.
Preoperative condition
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You need to examine the diagnostic findings and actual procedures documented in the original records. In one case, after documenting septal deviation, hypertrophic rhinitis, and sinus findings, septoplasty and submucosal resection of the inferior turbinate were planned. Even if you searched using the term rhinitis, distinguishing between the concurrent structural conditions and the exact surgical procedures allows you to interpret the patient's records more accurately.
Yes, there are. One post explains that following prior surgery, the hypertrophied inferior turbinates were reduced and nasal obstruction improved overall, but the thin and severely deviated septum reverted to a curved state. Septal reconstruction and cosmetic enhancement were subsequently planned. Rather than summarizing the entire previous surgery as simply effective or ineffective, this case allows you to examine the different outcomes by anatomical site.
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