- 105 Downloads
Nasomaxillary deformity is an unusual injury but is perhaps more common than is realised. The extent of maxillary involvement can range from a few cracks, to ‘en bloc’ displacement of a complex three-dimensional fragment which includes the lateral wall of the nasal cavity and turbinates. Restricted breathing through the nose can be erroneously attributed to septal deviation. Although conventional rhinoplasty will mask the nasal deformity very well, if the medially displaced pyriform fragment is not corrected, rhinoplasty will make little difference to improving the obstructed airway. This chapter describes assessment and the technique of osteotomy.