Surgical approaches to correcting posttraumatic nasal deformities

Abstract. Introduction. Posttraumatic nasal deformities represent a considerable challenge for otorhinolaryngologists and maxillofacial surgeons alike. This particular type of pathology frequently arises from traumatic injuries, leading to substantial morphological and functional impairments. The impact of these deformities extends beyond respiratory function, encompassing the aesthetic aspect of the nose, thus significantly affecting the affected patient’s quality of life. The present study aims to analyze contemporary approaches to the surgical correction of posttraumatic nasal deformities, based on the actual literature. Materials and Methods. A comprehensive search was conducted on the databases, such as PubMed, Scopus, and Web of Science, using the following keywords: posttraumatic nasal deformity, rhinoplasty, surgical correction, and nasal trauma. The search was limited to articles published in the last decade to ensure the currency of the data. A total of 120 publications were reviewed, of which 45 that met the relevance criteria were selected for our further review. The study protocol was approved by the local ethical committee of the center An informed consent in wirting was obtained from each participant involved in the study. Results and Discussion. The results obtained from the analysis of scientific publications indicate that the advanced surgical approach to correcting post-traumatic nasal deformities encompasses a wide range of methods, including reconstructive rhinoplasty, the use of tissue grafts, and endoscopic techniques. The most effective approaches are individualized, taking into account both aesthetic and functional needs of the patient. In recent years, significant attention has been given to minimizing the invasiveness of surgeries and improving post-operative outcomes using advanced technologies, such as 3D modeling and laser techniques. An important aspect is also maintaining a balance between restoring normal respiratory function and the aesthetic appearance of the nose. Conclusions. Posttraumatic rhinoplasty is a complex procedure that can be effective in restoring the shape and function of the nose. Some factors contribute to the procedure efficacy, including an individualized approach, accurate diagnosis, and the use of advanced technologies. The procedure objective is twofold: First, achieving aesthetic goals and second, achieving functional goals. The latter is of particular importance as it improves the patients’ quality of life.