Nasal obstruction after rhinoplasty.

Nasal obstruction is a frustrating sequel of rhinoplasty to both the patient and the surgeon. Physiologic problems are caused by altered vasomotor mechanisms of the lining. Mechanical obstruction results from (1) over-correction of the nasal supporting structures, (2) infracture of long nasal bones, (3) septal irregularities, and (4) surgical adhesions.Simple and effective techniques for correcting each of these problems are described.