546) Which of the following statements about the middle vault in Rhinoplasty is TRUE?
A. At the cephalic end the upper lateral cartilages are fused with the nasal bones, inserting just above the caudal ends of the bones.
B. The angle between the septum and the upper lateral cartilage is one of 30 degrees.
C. The nasal valve represents the site of least resistance to airflow through the nose.
D. The inverted-V deformity of the middle vault is a classic sign of posterior displacement of the nasal bones and upper lateral cartilages.
E. Preservation of the middle-vault mucosa will not help to minimize posterior displacement of the upper lateral cartilages after hump removal.
REFERENCES & ANSWER
Papel I. D.: Management of the Middle Vault, Chapter 35 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, second edition (Ira Papel, editor) pp. 407-409, 2002
Papel I. D.: Surgery of the Middle Vault, Chapter 43 Facial Plastic and Reconstructive Surgery, Thieme Medical Publishers, Third edition (Ira Papel, editor) pp. 555-561, 2009
546) D The inverted-V deformity of the middle vault is a classic sign of posterior displacement of the nasal bones and upper lateral cartilages.
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