Nose Goes

Question: A 17 year old female patient reports that she is unhappy with the appearance of her nose after undergoing a rhinoplasty 6 months ago. She shows you standardized photographs of her nose prior to surgery, and you note a cartilaginous hump and reduced tip projection. Upon asking her what specifically she doesn’t like about her nose, she states that “she looks like a bird”. What is the most likely reason for this common rhinoplasty complication?

a) Excessive cephalic trim

b) Use of spreader grafts

c) Aggressive dorsal hump removal

d) Septal hematoma with resultant loss of dorsal strut

[Answer will be posted with next week's new question]

Answer to last week's question, “Down the Hatch” (May 15, 2022)

A - Plain X-ray of the neck, chest, and abdomen