OBJECTIVES: To analyze the anatomical abnormality of the keel nose and correlate the findings with etiologic maneuvers of a routine rhinoplasty procedure; to identify the contributing factors and offer suggestions to avoid or decrease the severity of these surgical complications; and to present an effective revisional procedure to correct the functional and cosmetic consequences of this deformity. @entity1 AND METHODS: A total of 47 @entity1 (31 @entity1 and 16 @entity1 ; age range, 18-71 years) with a keel-appearing nose presented for revision rhinoplasty. All had undergone at least 1 rhinoplasty procedure, and 39 had undergone 2 or more previous nasal procedures. All @entity1 had bilateral lateral nasal wall collapse and an associated severely compromised internal nasal valve. All @entity1 underwent reconstruction with a conchal cartilage overlay graft. RESULTS: All @entity1 had a moderate to excellent cosmetic improvement; the subjective improvement in nasal airway was more dramatic. Since @entity1 with a keel nose have an associated @entity340 , both abnormalities are addressed simultaneously with the conchal cartilage overlay repair, which results in minimal morbidity with no major complications. CONCLUSIONS: Conchal cartilage overlay repair uses a cartilage graft from the auricle with a recommended external rhinoplasty for placement. Appropriate sizing and fashioning precede the precise placement and suture fixation. This technique addresses both functional and @entity854 .

Management of the keel nose and associated XXXX .

@entity1 :: ('9606', 'Species') :: ['men', 'women', 'patients', 'PATIENTS'] @entity854 :: ('MESH:D018376', 'Disease') :: ['cosmetic abnormalities'] @entity340 :: ('MESH:D006349', 'Disease') :: ['internal valve collapse']
@entity340 :: (MESH:D006349,Disease) :: ['valve collapse']
