Rhinoplasty
Glossary
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A
B C D E F
G H I J K
L M N O P
Q R S T U V
W X Y Z
A
accessory cartilages - Cartilages
connecting the lateral ends of the lateral crura to the pyriform aperture edge.
acne rosacea - acne involving the skin of the nose, forehead, and cheeks
that is common in middle age and characterized by congestion, flushing,
telangiectasia, and marked nodular swelling of tissues esp. of the nose --
called also rosacea
adenoid - an abnormally enlarged mass of lymphoid tissue at the back of
the pharynx characteristically obstructing the nasal and ear passages and
inducing mouth breathing, a nasal voice, postnasal discharge, and dullness of
facial expression
ala - a wing or a winglike anatomic process or part; as in ALA NASI
(below)
ala nasi - the expanded outer wall of cartilage on each side of the nose
alae (plural of ala) - The lateral wings. The rounded eminence that forms
the lateral nostril wall that extends from the tip to join the upper lip.
alaeque - a muscle that arises from the nasal process of the maxilla,
that passes downward and laterally, that divides into a part inserting into the
alar cartilage and one inserting into the upper lip, and that dilates the
nostril and raises the upper lip
alar cartilage - one of the pair of lower lateral cartilages of the nose
alar groove - The external, oblique skin depression that follows the
caudal margin of the lateral crus as it leaves the alar rim to run in a more
cephalic direction. It separates the tip from the thickened portion of the ala
that joins the face at the superior cheek-lip junction.
anatomic dome - The junction of the medial and lateral crus.
anosmia - loss or impairment of the sense of smell
anterior - situated before or toward the front
anterior nasal spine - the nasal spine that is formed by the union of
processes of the two premaxillae
anterior septal angle - Superior to lobule at the juncture of the dorsal
and caudal cartilaginous septum.
aperture - an opening or open space such as the nostril
apex - the free angle of the external nose. (2) A narrowed or pointed end
of an anatomical structure.
atrium - an anatomical cavity or passage
B
bulla (plural: bullae) - a hollow
thin-walled rounded bony prominence
buttress graft - a graft that that supports or strengthens
bony pyramid - The bony portion of the nose made up bilaterally of the
nasal bone and frontal process of the maxilla
Bowman's gland - any of the tubular and often branched glands occurring
beneath the olfactory epithelium of the nose -- called also gland of Bowman's,
olfactory gland
bridge (nasal) - the portion of the nose that is supported by the nasal
bones.
hanging columella - is usually present in primary cases due to redundant medial
crura, inferior projection of the septal cartilage but can also become a result
of excessive removal of the lateral crural segments. In rare cases the hanging
columella can be a result of excessive scarring.
C
canthal - of, or having to do with the canthis; the upper bony part of
the nose
canthis - either of the angles formed by the meeting of the upper and
lower eyelids - the corner of the eyes
cartilage crusher/press - a stainless steel surgical instrument that
crushes graft cartilage into a thin sheet to make it soft and pliable for
reimplantation.
cartilage splitting (intra-cartilagenous) incision - An incision
extending medial to lateral through the lateral crus separating the lateral crus
into a superior and inferior portion.
cartilaginous pyramid - the cartilage which sits on top of the bony
pyramid.
caudal septum - The free (inferior) border of the septum.
caudal - Means same as inferior when referring to the nose.
cephalic - Means same as superior when referring to the nose; directed
toward or situated on or in or near the head
chonae - the pair of posterior apertures of the nasal cavity that open
into the nasopharynx. called also posterior nares
ciliary - (1) : of or relating to cilia (2) : of, relating to, or being
the annular suspension of the lens of the eye
ciliary ganglion - a small autonomic ganglion on the nasociliary branch
of the ophthalmic nerve receiving preganglionic fibers from the oculomotor nerve
and sending postganglionic fibers to the ciliary muscle and to the sphincter
pupillae
clinical dome - The most anterior projecting portion of the lower lateral
cartilage. The external projection of the dome is the tip defining point.
columella - The column at the base of the nose separating the nostrils
(or columna)
columellar labial angle - Curved junction of the columella with the lip.
columellar lobular angle - The angle formed by the junction of the
infra-tip lobule with the columella.
collumellar strut - a cartilage or synthetic graft
that is approximately 5mm wide X 8-14mm long X 1-3mm thick that is implanted to
support the tip.
columna - The column at the base of the nose separating the nostrils (or
collumella)
concave - hollowed or rounded inward like the inside of a bowl
concha -
convex - curved or rounded like the exterior of a sphere or circle
crura (plural of crus) - either of the diverging proximal ends
crus - either of the diverging proximal ends
D
dorsum (nasal) - Where the lateral surfaces of the upper 2/3 of the
nose join in the midline. Sometimes referred to as the dorsum nasi
dysosmia - dysfunction of the sense of smell
E
epistaxis - nose bleed
epithelium - a membranous cellular tissue that covers a free surface
or lines a tube or cavity of an animal body and serves esp. to enclose and
protect the other parts of the body, to produce secretions and excretions, and
to function in assimilation
ethmoid - a light spongy cubical bone forming much of the walls of the
nasal cavity and part of those of the orbits (called also ethmoidal bone)
ethmoidal air cells - the cavities in the lateral masses of the ethmoid
bone that are partly completed by adjoining bones and communicate with the nasal
cavity
external nasal valve - External opening of the nostril.
F
floor - the lower inside surface of a hollow anatomical structure < ~
of the pelvis>
Frankfort Horizontal - (as in Frankfort Horizontal Line) - a plane used
in craniometry that is determined by the highest point on the upper margin of
the opening of each external auditory meatus (simple english: ear canal) and the
low point on the lower margin of the left orbit and that is used to orient a
human skull or head usu. so that the plane is horizontal -- called also
Frankfort horizontal, Frankfort plane
frontal process - a long plate that is part of the maxillary bone and
contributes to the formation of the lateral part of the nose and of the nasal
cavity -- called also nasal process
frontonasal - the frontal bone of the nose
G
glabella - (Latin for "hairless") the area in between the brows
right directly above where the root of the nose touches the forehead; the smooth
prominence between the eyebrows
glabellar - of, or being of the glabella
glands of Bowman - any of the tubular and often branched glands occurring
beneath the olfactory epithelium of the nose. Called also Bowman's gland,
olfactory gland
H
hemitransfixion incision - An incision through the vestibular skin on one
side of the membranous septum.
hiatus semilunaris - a curved fissure in the nasal passages into which
the frontal and maxillary sinuses open
hyperosmia - extreme acuteness of the sense of smell
hyposomia - impairment of the sense of smell
I
inferior - situated lower down, bottom
inferior meatus - a space extending along the lateral wall of the nasal
cavity between the inferior nasal concha and the floor of the nasal cavity
--compare MIDDLE MEATUS, SUPERIOR MEATUS
inferior nasal concha - lower nasal concha/turbinate
infracture - to move the nasal bones in, as to thin the nasal structure
infra-orbital rim - the rim situated beneath the orbit of the eye. the
lower part of the bony eye socket rim.
infra-tip lobule - The portion of the lobule between the tip defining
points and the columellar-lobular angle.
infundibulum - any of the small spaces having walls beset with air sacs
in which the bronchial tubes terminate in the lungs
integument - an enveloping layer (as a skin or membrane) of an organism
or one of its parts (the skin of the nose)
inter - (combining form) among or between
intercanthal - among or between the canthus
inter-cartilaginous incision - An incision placed just on the lower
lateral cartilage side of the junction of the upper lateral cartilage with the
lateral crus of the lower lateral cartilage.
internal nasal valve - The area of the junction of the caudal edge of the
upper lateral cartilage with the nasal septum.
J
Jacobson's organ - a slender canal in the nasal mucosa that ends in a
blind pouch, has an olfactory function, and is rudimentary in adult humans,
called also vomeronasal organ
jugal bone - a bone of the side of the face below the eye that forms part of the
zygomatic arch and part of the orbit and articulates with the temporal,
sphenoid, and frontal bones and with the maxilla of the upper jaw --called also
cheekbone, malar bone, zygoma
K
keystone area - Junction of the perpendicular plate of the ethmoid with
the septal cartilage at the dorsum of the nose.
L
lateral - of or relating to the side
lesser alar cartilages - Small cartilages found in the lateral space
between the upper and lower lateral cartilages. called also sesamoid cartilages
levator labii superioris alaeque nasi - a muscle that arises from the
nasal process of the maxilla, that passes downward and laterally, that divides
into a part inserting into the alar cartilage and one inserting into the upper
lip, and that dilates the nostril and raises the upper lip
limen vistibuli - Line of the vestibule, junction of vestibular skin with
nasal mucosa, line of junction of the cephalic margin of the lateral crus of the
lateral crus of the lower lateral cartilage with the caudal edge of the upper
lateral cartilage.
lobule - The lower part of the nose bounded by the anterior nostril
edge postero-inferiorly, the supratip area superiorly and the alar grooves
laterally.
lower lateral cartilages (LLC) - The paired inferior nasal cartilages
consisting of the medial, middle, and lateral crura.
M
marginal infra-cartilaginous incision - An incision of varying length
along the caudal border of the medial and lateral crura.
mandible - the lower jaw
mandibular - of, or being associated with the lower jaw
maxilla - the upper jaw
meatus - a natural body passage : CANAL, DUCT, INBETWEEN
medial - being or occurring in the middle
menton - the chin, also called menta and mentum
middle meatus - a curved anteroposterior passage in each nasal cavity
that is situated below the middle nasal concha and extends along the entire
superior border of the inferior nasal concha --compare INFERIOR MEATUS, SUPERIOR
MEATUS
middle nasal concha - middle nasal concha/turbinate
mucosal - of or relatated
mucous membrane - a membrane rich in mucous glands; specif : one that
lines body passages and cavities which communicate directly or indirectly with
the exterior (as the alimentary, respiratory, and genitourinary tracts), that
functions in protection, support, nutrient absorption, and secretion of mucus,
enzymes, and salts, and that consists of a deep vascular connective-tissue
stroma and a superficial epithelium
N
nares - the pair of openings of the nose, nostril openings
nasal bone - either of two bones of the skull of vertebrates above the
fishes that lie in front of the frontal bones and in humans are oblong in shape
forming by their junction the bridge of the nose and partly covering the nasal
cavity
nasal cavity - the vaulted chamber that lies between the floor of the
cranium and the roof of the mouth of higher vertebrates extending from the
external nares to the pharynx, being enclosed by bone or cartilage and usu.
incompletely divided into lateral halves by the septum of the nose, and having
its walls lined with mucous membrane that is rich in venous plexuses and
ciliated in the lower part which forms the beginning of the respiratory passage
and warms and filters the inhaled air and that is modified as sensory epithelium
in the upper olfactory part
nasal concha - any of three thin bony plates on the lateral wall of
the nasal fossa on each side with or without their covering of mucous membrane.
(a) a separate curved bony plate that is the largest of the three and separates
the inferior and middle meatuses of the nose --called also inferior concha,
inferior nasal concha, inferior turbinate, inferior turbinate bone. (b)
the lower of two thin bony processes of the ethmoid bone on the lateral wall of
each nasal fossa that separates the superior and middle meatuses of the nose
--called also middle concha, middle nasal concha, middle turbinate, middle
turbinate bone. (c) the upper of two thin bony processes of the ethmoid
bone on the lateral wall of each nasal fossa that forms the upper boundary of
the superior meatus of the nose --called also superior concha, superior nasal
concha, superior turbinate, superior turbinate bone. -- called also
turbinates
nasal fossa - either lateral half of the nasal cavity
nasal length - from radix to tip (RT)
nasal lobule - The lower part of the nose bounded by the anterior nostril
edge postero-inferiorly, the supratip area superiorly and the alar grooves
laterally.
nasal notch - the rough surface on the anterior lower border of the
frontal bone between the orbits which articulates with the nasal bones and the
maxilla
nasal nerve - a branch of the ophthalmic nerve distributed in part to the
ciliary ganglion and in part to the mucous membrane and skin of the nose
--called also nasociliary nerve
nasal process - a long plate that is part of the maxillary bone and
contributes to the formation of the lateral part of the nose and of the nasal
cavity -- called also frontal process
nasal septum - the bony and cartilaginous partition between the nasal
passages -- called also simply, septum when referring to the nose
nasal spine - any of several median bony processes adjacent to the nasal
passages: as in:
nasociliary nerve -
a branch of the ophthalmic nerve distributed in part to the ciliary ganglion and
in part to the mucous membrane and skin of the nose --called also nasal nerve
nasofrontal angle - Angle of demarcation between forehead and nasal dorsum,
best seen in profile.
nasolabial - area of the cheek which lies next to lower portion of the
nose. When we get older or are overweight we may see a fold in this area -
especially when we smile. This is called a nasolabial fold.
nasolabial angle - The angle seen on lateral view formed by a line drawn
through the most anterior to most posterior point of the nostril intersecting
the vertical facial plane. The desired angle in males is 90- 95 degrees and
95-100 degrees in females.
nasopalatine nerve - a parasympathetic and sensory nerve that arises in
the sphenopalatine ganglion, passes through the sphenopalatine foramen, across
the roof of the nasal cavity to the nasal septum, and obliquely downward to and
through the incisive canal, and innervates esp. the glands and mucosa of the
nasal septum and the anterior part of the hard palate
nasopharnyx - the upper part of the pharynx continuous with the nasal
passages
nasus externus - latin for the external nose
Natural Horizontal Facial Plane (NHFP) - A horizontal line extending
through the lateral facial profile with the head in a normal relaxed position
with the eyes looking straight ahead.
nose - a : the part of the face that bears the nostrils and covers the
anterior part of the nasal cavity; broadly : this part together with the nasal
cavity
O
olfaction - 1 : the sense of smell
2 : the act or process of smelling
olfactory - of, relating to, or connected with the sense of smell
open roof - after infracture, the nasal bones may slip soon after or shift
and fuse back together incorrectly. This can cause a groove or "open
roof" deformity which can be easily seen and felt.
P
parosmia - a distortion of the sense of
smell (as when affected with a cold)
pinched tip - refers to the tip being too thin which can occur from improper
technique and even nasal valve collapse due to lack of cartilaginous support or
removal of scar tissue if revisionary.
pollybeak deformity - a nasal deformity caused by lack of support of the
supratip
polyp - a projecting mass of swollen and hypertrophied or tumorous
membrane, usually referring to the sinus cavity in otolaryngology
polypectomy - the surgical excision of a polyp
polyposis - a condition characterized by the presence of numerous polyps
posterior - situated behind: as (a) CAUDAL; (b) of the human body or its
parts : DORSAL
posterior nares - the pair of posterior apertures of the nasal cavity
that open into the nasopharynx -- called also the chonae
posterior nasal spine - the nasal spine that is formed by the union of
processes of the two palatine bones
pyramid (nasal) - (1) bony pyramid: The bony portion of the nose made up
bilaterally of the nasal bone and frontal process of the maxilla.; Cartilaginous
pyramid: the cartilage which sits on top of the bony pyramid.
pyriform apeture - The pear-shaped external bony opening of the nasal
cavity. called also - piriform, piriformis
R
RT - radix to tip
radix - Areas of junction between the frontal bone and the dorsum of the
nose.
rasp - (noun): a coarse file with cutting points instead of lines;
(verb): to rub with something rough; specifically : to abrade with a rasp
rhin- (or rhino-) - (combining form) 1 a : nose <rhinitis> <rhinology>
b : nose and <rhinotracheitis> 2 : nasal <rhinovirus>
rhinencephalon - the area of the brain which process scents/odor --
called also smell brain
rhinoplasty - plastic surgery on the nose usu. for cosmetic purposes
--called also nose job
rhinosporidiosis - a fungal disease of the external mucous membranes (as
of the nose) that is characterized by the formation of pinkish red, friable,
sessile, or pedunculated polyps and is caused by an ascomycetous fungus (Rhinosporidium
seeberi)
rim incision - An incision placed just within the vestibular edge of the
rim of the nares.
rocker deformity - when a medial osteotomy produces a superior fracture
at the thickst part of the frontonasal junction
roof (nasal) - a covering structure of any of various parts of the body
< ~ of the mouth; ~ of the skull>
root (nasal) - there the nose joins the forehead.
rosacea - acne involving the skin of the nose, forehead, and cheeks that
is common in middle age and characterized by congestion, flushing,
telangiectasia, and marked nodular swelling of tissues esp. of the nose --
called also acne rosacea
S
saddle back - a scooped look resulting from an overzealous osteotomy or
rasping
saddle nose - a nose marked by depression of the bridge resulting from
injury or disease; or as in the above appication
scroll area - The area of recurvature of the lateral crus of the lower
lateral cartilage at its junction with the upper lateral cartilage.
sept- (or septo-; also septi-) - (combining form) septum <septal> <septoplasty>
septoplasty - surgical repair of the nasal septum
septorhino -the surgical repair of the nasal septum with added cosmetic
techniques as well
septum (nasal) - the bony and cartilaginous partition between the
nasal passages "Divides the nasal passage into two cavities. It
consists of a bony (perpendicular plate of ethmoid, vomer and premaxillary
crest), cartilaginous (quadrilateral) and membranous portion."
sesamoid cartilages - Small cartilages found in the lateral space between
the upper and lower lateral cartilages. (lesser alar cartlages)
smell brain - the area of the brain which process scents/odor --
called also rhinencephalon
soft triangle - The thin skin fold between the alar rim and the curved
caudal border of the junction of the medial and lateral crura. When this is well
defined it is referred to as a facet.
sphenoid sinus - either of two irregular cavities in the body of the
sphenoid bone that communicate with the nasal cavities
sphenoethmoidal recess - a small space between the sphenoid bone and the
superior nasal concha into which the sphenoidal sinus opens
stomion - the vertical area of the face that
bisects the horizontal lips, it is the upper 1/2 of the area from subnasale
(right under nose) to the menton (chin) (referred to in facial analysis)
subnasale - the area right under the nose
superior - situated higher up, top
superior nasal concha - the top nasal concha/turbinate
supracillary -
supratarsal -
supratip or supratip area - The area just superior to the nasal tip at
the inferior aspect of the nasal dorsum.
sutures - (1) the name given to the small fissures in the skull
(and other bones) where they are joined. They resemble fine cracks. (2)
the material with which a wound is closed, also known as "stitches".
T
TP - tip to stomion
tip projection - The distance from the tip of the nose to the most
posterior point of the nasal-cheek junction (the distance that the nose projects
from the face).
tip defining points (TDP) - The most projecting area on each side of the
tip which produces an external light reflex.
tip rotation - Movement of the tip cephalad or caudad from the fixed alar
base.
tip - Apex of the lobule, but it is frequently used when referring to the
lobule.
transcollumellar incisions ("open" or "external"
technique) - An incision used for the external rhinoplasty approach, through
the thin skin of the columella connecting the medial terminations of the
marginal incisions.
transfixion incision - An incision in the membranous septum between the
caudal border of the septal cartilage and the columella.
trichion - the area of the face where the frontal hairline is. Referred
to in facial analysis.
turbinates - Three scrolls of bone (superior, middle, inferior)
projecting from the lateral nasal wall that are covered if mucosal tissue and
help moisten their nasal cavity, nostrils and the air you breathe.
U
upper lateral cartilages (ULC) - The paired superior nasal cartilages,
triangular in shape extending laterally from the dorsal septum making up the
lateral walls of the middle third of the nose.
V
vomer - a bone of the skull that in humans forms the posterior and
inferior part of the nasal septum comprising a vertical plate pointed in front
and expanding at the upper back part into lateral wings
vomeronasal - of or relating to the vomer and the nasal region and esp.
to Jacobson's organ or the vomeronasal cartilage
vomeronasal cartilage - a narrow process of cartilage between the vomer
and the cartilage of the nasal septum
vomeronasal organ - a slender canal in the nasal mucosa that ends in a
blind pouch, has an olfactory function, and is rudimentary in adult humans --
called also JACOBSON'S ORGAN
vertical facial plane (VFP) - A line perpendicular to the Natural
Horizontal Facial Plane.
vestibule - any of various bodily cavities esp. when serving as or
resembling an entrance to some other cavity or space
vibrissa (plural: vibrissae) - any of the stiff hairs growing within the
nostrils that serve to impede the inhalation of foreign substances
W
weak triangle (converse) - Area superior to paired domes where the
cephalic margin of the lower lateral cartilages (LLC) separate to travel in a
superio-lateral direction.
Z
zygoma - a bone of the side of the face below the eye that forms part of
the zygomatic arch and part of the orbit and articulates with the temporal,
sphenoid, and frontal bones and with the maxilla of the upper jaw --called also
cheekbone, jugal, malar bone, zygomatic bone
zygomatic bone - a bone of the side of the face below the eye that forms
part of the zygomatic arch and part of the orbit and articulates with the
temporal, sphenoid, and frontal bones and with the maxilla of the upper jaw
--called also cheekbone, jugal, malar bone, zygoma
References
& Credits
Anatomy as Related to Rhinoplasty; Rod J. Rohrich, M.D., F.A.C.S. and Jack
Gunter, M.D., F.A.C.S
Merriam-Webster Medical Dictionary
Graylab Online Medical Dictionary - UK
Anatomy of the Human Body, Henry Gray (1821–1865)
Online Version of Anatomy of the Human Body - Bartleby.com
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