DATE OF OPERATION: MM/DD/YYYY
PREOPERATIVE DIAGNOSIS: Large nasal hump with long nasal tip and wide nasal bone.
POSTOPERATIVE DIAGNOSIS: Large nasal hump with long nasal tip and wide nasal bone.
OPERATION PERFORMED: Rhinoplasty.
SURGEON: John Doe, MD
ASSISTANT: Jane Doe, MD
ANESTHESIA: General endotracheal anesthesia.
COMPLICATIONS: None.
POSTOPERATIVE CONDITION: Good.
DESCRIPTION OF OPERATION: After informed consent, the patient was taken to the operating room. General endotracheal anesthesia was performed without difficulty. Antithrombotic devices were put on both lower extremities, and the patient’s entire face was prepped and draped in the standard sterile fashion. The patient’s nasal hairs were trimmed, and her inner nose was also prepped with Betadine solution.
An incision was made at the narrow portion of her columella. The incision followed inward into the nasal mucosa and then followed into a marginal incision. The nasal skin was elevated up off the cartilage where good exposure of the lower lateral and upper lateral cartilages was noted. Using a Freer elevator, the skin was elevated up off the nasal dorsum and nasal bones. At this point, the lower lateral cartilage was taken down leaving 4 mm of lower lateral cartilages, both sides. Using an osteotome, the nasal bone was taken down, and using a 15 blade, the cartilaginous portion of the septum was also sharply shaved down as well to give her a nice straight dorsum. At this point, osteotomies were done low to high. The skin was placed back over her nose, and it appeared that she had a nice result. The patient’s nasal hump was taken down and her tip looked good.
The incision line was closed using 6-0 nylon in the skin and 4-0 chromics in the nasal mucosa. Steri-Strips were applied and then a nasal splint. The patient tolerated the procedure well and left the operating room in good condition.
