Modern concepts of the complex anatomy of the nose and its significance in rhinoplasty
09-11, 15:30–15:40 (Europe/Istanbul), Facial Plastic 2

<p>IntroductionModern rhinoplasty requires a profound understanding of the complex anatomy of the nose, including the interaction of bony, cartilaginous, and soft tissue structures. The evolution of surgical approaches aims to preserve airway functionality while achieving an aesthetically harmonious outcome.</p> <p>ObjectiveTo analyze current concepts of the complex nasal anatomy and its influence on rhinoplasty techniques aimed at improving both aesthetics and functionality.</p> <p>Materials and MethodsThe study is based on the analysis of anatomical data, clinical observations, and a comparative evaluation of surgical techniques. Computed tomography, 3D modeling, and statistical data processing were employed for patients who underwent rhinoplasty. The study included 50 participants (30 women and 20 men) who underwent rhinoplasty for aesthetic and functional indications between January 2024 and February 2025.</p> <p>Patient examinations were performed preoperatively, and subsequently at 1, 3 months, and 1 year postoperatively. The assessment included patient complaints and medical history, laboratory tests according to nosological standards, standard ENT examination, specific functional nasal valve tests (“push-up” test, cotton ball test, Cottle maneuver) and endoscopic evaluation of the nasal cavity. Statistical analysis was performed using IBM SPSS Statistics software.</p> <p>ResultsAnalysis of 50 rhinoplasty cases revealed that nasal anatomical features play a key role in determining the surgical technique and predicting outcomes. The main findings include:</p> <p>1. Individual Anatomical Variations.</p> <p>72% of patients demonstrated anatomical characteristics that influenced preoperative planning and surgical techniques. The most significant variations included:</p> <p>• Variability in the shape and thickness of the osteocartilaginous framework.</p> <p>• Differences in the angle of nasal septal deviation.</p> <p>• Various attachment types of the medial crura of the alar cartilages.</p> <p>• Variations in the structure of the lateral cartilages affecting airway patency.</p> <p>• Differences in subcutaneous fat layer thickness determining contour modeling complexity.</p> <p>Key external nasal features in the Kazakh population include:</p> <p>• Thick nasal tip skin with a pronounced subcutaneous fat layer.</p> <p>• Low and wide dorsum with a poorly defined cartilaginous hump.</p> <p>• Broad nasal tip.</p> <p>• Hypoprojection of the tip.</p> <p>• Wide alar base.</p> <p>• Closed V-shaped nostril type.</p> <p>2. Influence of Anatomical Features on Surgical Techniques.</p> <p>In 85% of cases, surgeons emphasized the importance of considering individual anatomy to achieve optimal outcomes. Analysis of surgical procedures identified the following challenging zones:</p> <p>• Osteocartilaginous junction of the nasal dorsum – high risk of deformities during resection.</p> <p>• Alar cartilages – critical for maintaining the aesthetic form of the nasal tip.</p> <p>• Nasal septum – its condition determines the possibility of complete functional correction.</p> <p>• Soft tissue thickness – patients with thick skin present greater difficulty in achieving a well-defined contour.</p> <p>ConclusionRhinoplasty based on detailed study of nasal anatomy allows minimization of postoperative complications and improvement in the predictability of aesthetic outcomes. Modern technologies, including 3D analysis and computer modeling, contribute to increased precision in surgical interventions.</p>
<p>To analyze current concepts of the complex nasal anatomy and its influence on rhinoplasty techniques aimed at improving both aesthetics and functionality.</p>
Session Chair Session Chair
Denizhan Dizdar
Speaker Speaker
Arzu-Almaz Mashurov
Denizhan Dizdar
<p>Denizhan Dizdar</p> <p>Anka Sokak NO:2, Mashattan Sitesi B1 blok no:41, Sarıyer/İstanbul</p> <p>Cell:+090 555 547 68 56</p> <p>Email: [email protected]</p> <p>PROFESSIONAL EXPERIENCE</p> <p>Associate Professor 2021: İstanbul Aydın University, Medical Faculty, ENT Department</p> <p>Associate Professor, 2016-2021; Medicalpark Bahçelievler Hospital</p> <p>Assistant Professor, February 2016-2021, Istinye University, Medical Faculty, Department of ORL</p> <p>Otorhinolaryngology Specialist May 2013-2016, Gaziosmanpaşa Taksim Training and Research Hospital, İstanbul,Turkey</p> <p>Otorhinolaryngology Specialist February-May 2013, Şişli Etfal Training and Research Hospital, İstanbul, Turkey</p> <p>EDUCATION</p> <p>University of İstanbul, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey, 2002-2008</p> <p>Galatasaray Highschool,İstanbul Turkey, 1994-2002</p> <p>MEDICAL LICENSURE</p> <p>• Turkish Ministry of Health</p> <p>GRADUATE TRAINING</p> <p>Internship
 University of İstanbul, Cerrahpaşa Faculty of Medicine,Turkey,2007-2008</p> <p>Residency
Şişli Etfal Training and Research Hospital, Otorhinolaryngology Clinic, İstanbul, Turkey, 2009-2013</p> <p>MEMBERSHIPS AND ASSOCIATIONS</p> <p>- Fellow of European Board of Otolaryngology</p> <p>- Turkish Association of Otorhinolaryngology</p> <p>- Turkish Association of Facial Plastic Surgery</p> <p>- European Academy of Facial Plastic Surgery</p> <p>- Turkish Medical Association</p> <p>LANGUAGES</p> <p>English, FrenchDenizhan Dizdar</p> <p>Anka Sokak NO:2, Mashattan Sitesi B1 blok no:41, Sarıyer/İstanbul</p> <p>Cell:+090 555 547 68 56</p> <p>Email: [email protected]</p> <p>PROFESSIONAL EXPERIENCE</p> <p>Associate Professor 2021: İstanbul Aydın University, Medical Faculty, ENT Department</p> <p>Associate Professor, 2016-2021; Medicalpark Bahçelievler Hospital</p> <p>Assistant Professor, February 2016-2021, Istinye University, Medical Faculty, Department of ORL</p> <p>Otorhinolaryngology Specialist May 2013-2016, Gaziosmanpaşa Taksim Training and Research Hospital, İstanbul,Turkey</p> <p>Otorhinolaryngology Specialist February-May 2013, Şişli Etfal Training and Research Hospital, İstanbul, Turkey</p> <p>EDUCATION</p> <p>University of İstanbul, Cerrahpaşa Faculty of Medicine, İstanbul, Turkey, 2002-2008</p> <p>Galatasaray Highschool,İstanbul Turkey, 1994-2002</p> <p>MEDICAL LICENSURE</p> <p>• Turkish Ministry of Health</p> <p>GRADUATE TRAINING</p> <p>Internship
 University of İstanbul, Cerrahpaşa Faculty of Medicine,Turkey,2007-2008</p> <p>Residency
Şişli Etfal Training and Research Hospital, Otorhinolaryngology Clinic, İstanbul, Turkey, 2009-2013</p> <p>MEMBERSHIPS AND ASSOCIATIONS</p> <p>- Fellow of European Board of Otolaryngology</p> <p>- Turkish Association of Otorhinolaryngology</p> <p>- Turkish Association of Facial Plastic Surgery</p> <p>- European Academy of Facial Plastic Surgery</p> <p>- Turkish Medical Association</p> <p>LANGUAGES</p> <p>English, French</p>
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Arzu-Almaz Mashurov
<p>I am Family doctor and ENT (Otorhinolaryngology) resident with robust background in patient care and medical procedures, who demonstrates strong diagnostic abilities and commitment to improving patient outcomes. Dedicated to continuous learning and staying current with medical advancements.</p>