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The nasalis muscle is one of the key muscles not formed or inserted correctly with cleft lip and cleft palate deformity. [5] The head of the transverse part needs to be identified during reconstructive surgery so that it can be surgically sutured (connected to) the nasal septum. [2] [5] The origin at the maxilla may also be repositioned for ...
Before surgery all important landmarks and reference points must be identified and marked. Important landmarks are the hairline, frown lines, location of the supratrochlear vessels, outline of the defect, nasal and lip subunits. [1] Then templates are made using the intact side of the nose to make a precise symmetric reconstruction of the nose.
Nasal muscles – The movements of the human nose are controlled by groups of facial and neck muscles that are set deep to the skin; they are in four functional groups that are interconnected by the nasal superficial aponeurosis—the superficial musculoaponeurotic system (SMAS)—which is a sheet of dense, fibrous, collagenous connective ...
The external nasal nerve passes inferior-ward through the lateral nasal wall. It provides sensory innervation to the area of skin of the nose between the nasal bones superiorly and the tip of the nose inferiorly (excluding the alar portion surrounding the external nares). [1]
The dilator naris muscle has a role in widening and narrowing the nostril, along with other muscles. [3] [4] It may prevent the collapse of the nostril during inhalation, particularly in people with narrower nostrils. [4] The respiratory centre of the brainstem can use the muscle to control nostril width in relation to breathing.
Nasal surgery is a specialty including the removal of nasal obstruction that cannot be achieved by medication and nasal reconstruction. Currently, it comprises four approaches, namely rhinoplasty, septoplasty, sinus surgery, and turbinoplasty, targeted at different sections of the nasal cavity in the order of their external to internal positions.
Temporary numbness of the front upper teeth after surgery is common. [5] Sometimes the numbness extends to the upper jaw and the tip of the nose. This almost always resolves within several months. The nasal tissues should mostly stabilize within 3-6 months post-surgery, although shifting is still possible for up to and over a year afterwards. [6]
Respiratory issues usually occur in more severe cases, requiring surgery to repair. [11] Surgery is also permitted to individuals that seek cosmetic changes due to moderate cases of a deviated septum. Surgery may require a surgeon to cut and remove parts of the septal nasal cartilages, replacing them later in a reconstructed format.