Addressing the Upper Third of the Nose in Endonasal Rhinoplasty

Overview

Gupta reviews management of the upper nasal vault (the nasal bones and their junction with the cartilage) in closed rhinoplasty. The abstract describes the content as a review of principles and techniques with special considerations for the endonasal approach; it contains no patient data.

Sections of note

• Management starts with thorough preoperative analysis.
• Form and function are to be weighed equally when modifying the upper vault.
• Special considerations apply when working through a closed approach with limited direct vision.
• The focus is on techniques as applied to the endonasal patient.

What it means for a patient

• The upper third is where hump reduction and bone narrowing (osteotomies) happen; done through the closed approach, the surgeon works by feel and limited view.
• This is a teaching review, not a results paper.

Why this paper matters

It is a focused chapter-style review for surgeons learning closed technique. Limits: review, no data, abstract gives little specific content.

Terms

• Upper nasal vault: the bony top third of the nose.
• Osteotomy: a controlled cut of the nasal bones to narrow or straighten them.
• Endonasal approach: surgery through incisions inside the nostrils.
• Keystone area: the junction of the bony and cartilaginous bridge.