NASAL SURGERY AS AN ADJUNCT TO ORTHOGNATHIC SURGERY

SUMMARY It is well recognized that the proper correction of many dentofacial deformities produces significant soft-tissue changes that can be predicted with relative accuracy. The orthognathic procedure may improve or rarely worsen a pre-existing soft-tissue relationship. In this article, we have shown that orthognathic surgery and rhinoplasty can be successfully combined, in either a concomitant or delayed fashion, when certain guidelines are followed. As our specialty strives to achieve the best possible outcome for patients, one would have to agree that, although not all nasal changes are predicatable preop- eratively, more refined postoperative results are achieved by the inclusion of adjunctive aesthetic procedures.