Assessment and Surgical Correction of The Long Nose
Abdelhamid, A., El-Sersy, H., Rabie, A., El-Samny, T., Aleem, M. (2022). Assessment and Surgical Correction of The Long Nose. EKB Journal Management System, 23(23), 1-11. doi: 10.21608/ejentas.2022.126316.1480
Amr Ossama Abdelhamid; Hesham El-Sersy; Amr Rabie; Talaat El-Samny; Mohammed Aleem. "Assessment and Surgical Correction of The Long Nose". EKB Journal Management System, 23, 23, 2022, 1-11. doi: 10.21608/ejentas.2022.126316.1480
Abdelhamid, A., El-Sersy, H., Rabie, A., El-Samny, T., Aleem, M. (2022). 'Assessment and Surgical Correction of The Long Nose', EKB Journal Management System, 23(23), pp. 1-11. doi: 10.21608/ejentas.2022.126316.1480
Abdelhamid, A., El-Sersy, H., Rabie, A., El-Samny, T., Aleem, M. Assessment and Surgical Correction of The Long Nose. EKB Journal Management System, 2022; 23(23): 1-11. doi: 10.21608/ejentas.2022.126316.1480

Assessment and Surgical Correction of The Long Nose

Egyptian Journal of Ear, Nose, Throat and Allied Sciences
Article 41, Volume 23, Issue 23, January 2022, Page 1-11  XML PDF (1.27 MB)
Document Type: Original Article
DOI: 10.21608/ejentas.2022.126316.1480
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Authors
Amr Ossama Abdelhamid email orcid 1; Hesham El-Sersy2; Amr Rabie2; Talaat El-Samny2; Mohammed Aleem2
1Otorhinolaryngology, Faculty of Medicine, Ain Shams University
2Otorhinolaryngology department, Faculty of Medicine, Ain Shams University
Abstract
Introduction: The long nose represents one of the most undesirable features in facial aesthetics leading to facial
disharmony. Despite being a common feature, review of the surgical literature shows that little attention has been given
to analyze and manage the long nose.
Aim: Identify the causes of long nose in the Egyptian population and proposed a surgical algorithm for correction of the
long nose deformity.
Patients and Methods: Fifty patients with long nose deformity were recruited in this study. Assessment to identify cause
of long nose in addition to pre-operative measurements of nasal length, projection, nasolabial and nasofrontal angles were
recorded and compared with the postoperative measurements after correction with the proposed algorithm.
Results: Multifactorial causes contribute to the long nose deformity. Most common cause in our study is lack of nasal
tip support in 94% of the cases, this was due to either long weak inferiorly oriented lower lateral cartilages in 35 patients
or short weak medial crura in 12 patients. 76% of the cases had an under-projected tip in association with the long nose
deformity. Our proposed surgical algorithm shows highly significant statistical difference between the pre-operative and
post-operative nasal length as well as nasal tip projection.
Conclusion: Multiple factors contribute to the long nose deformity. Egyptians most commonly have a long nose with
under-projected tip due to lack of nasal tip support. Following a Surgical algorithm in rhinoplasty is helpful stepwise
approach to plan for surgery however each operation must be tailored accordingly to each patient.
Keywords
Droopy tip; long nose; rhinoplasty
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