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The objectives of the surgical technique septorhinoplasty are to remodel and redesign the nose, to remove the excessive bone and cartilaginous structures, and/or to correct the nasal insufficiencies in order to obtain a harmonious proportion of the nose in regards to the other facial structures. Furthermore, septorhinoplasty is one of the most frequently used aestheticsurgical otorhinolaryngological procedures. The cartilaginous part of the nasal septum is an integral part of the isthmus’s region and has a significant role in the air’s circulation and turbulence. Due to this central role of the nasal septum, it is of crucial importance to undertake an adequate surgical technique since it is the key for a successful treatment both in the functional, and the esthetic rhinosurgery. The deformities of the nasal septum might be localized in the bone or in the cartilaginous structures, but most often, they are present in both of the structures. The cartilaginous deviations are the ones which are most responsible for the obstruction of the nasal respiratory flow. For that reason, they have been adequately classified. In this in-depth study, the aims have been: 1. To objectify the nasal air resistance (nasal obstruction) using rhinomanometry while selecting patients for septorhinoplasty. 2. To evaluate the frequency and the intensity of the nasal symptoms in patients that are about to undergo septo/rhinoplasty, before and after the intervention. 3. To classify the deviations of the nasal septum in regards to the septal structural and anatomical changes based on the CT of the nose and the paranasal sinuses and on the intrasurgical findings. 4. To determine an adequate psychological personality model while selecting patients for septo/rhinoplasty. Confirmed by clinically relevant data, the goal of this study has been to ensure its acceptance and implementation as a protocol for selecting patients for septo/rhinoplasty. The author points out that this is a prospective, as well as non-randomized study where a statistical analysis has been conducted on a total of 140 patients experiencing deviations of the nasal septum (deviatio septi nasi) separate from or along with the deformities of the nasal pyramid: rhinokyphosis, rhinoscoliosis, rhinolordosis (“saddle nose”), and “functional tension nose”. The examined patients were added on the list for surgical septo/rhinoplasty procedures performed at the ENT Clinic at University Hospital in Skopje, during the period of September, 2008 till September, 2013. The rhinomanometry examinations were performed at the Institute of Occupational Medicine in Skopje, while the psychological tests were carried out with the assistance of a clinical psychologist and a psychiatrist at the Psychiatry Clinic at University Hospital in Skopje . The examined groups were divided according to the following parameters: a) According to the degree of nasal obstruction, the patients were divided into 3 groups: Group IA – patients with a severe degree of nasal obstruction (severe degree of nasal resistance).

Evaluation of Postoperative Results in Patients with Functional and Aesthetic Septorhinoplasty