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Experiments in Rhinology & Otolaryngology

The Utility of the Bird’s Eye View in Rhinoplasty

  • Open or Close Anil R Shah*

    Department of Otolaryngology-Head and Neck Surgery, New York University School of Medicine, USA

    *Corresponding author: Anil R Shah, Department of Otolaryngology-Head and Neck Surgery, New York University School of Medicine, 845 North Michigan Avenue, Suite 934E, Chicago, IL 60611, USA

Submission: April 27, 2018;Published: June 15, 2018

DOI: 10.31031/ERO.2018.01.000523

ISSN: 2637-7780
Volume1 Issue5


Objectives: To examine the utility of the bird’s eye view in its use of preoperative rhinoplasty photographic analysis. The nose is a 3 dimensional object and therefore it stands to reason that viewing the nose from an additional angle would both assist in analyzing the deviation of the nose as well as in patient education.

Methods: A survey consisting of twelve patients’ preoperative photos were chosen randomly. Both frontal and bird’s eye views were randomized into a survey which was sent to the Otolaryngology department members (faculty and residents) in order to rate the deviation of the upper, middle and lower third of the nose. 14 responses were obtained. The average ratings of the nose were then compared to measured levels of deviation which were obtained via Adobe Photoshop. These values were placed into scatter plots to obtain R² values.

Results: The R² value for the frontal view photos was 0.1897, whereas the R² value for the bird’s eye view photos was 0.3341. This demonstrated that the bird’s eye view photographs allowed viewers to more accurately assess and rate the level of deviation of the nose.

Discussion: This study demonstrates the utility of adding the bird’s eye view photo to the standard views for preoperative rhinoplasty nasal analysis. It assists the physician in more accurately assessing the deviation of the nose. The authors believe that adding this view assists with patient education and communication in a more cost-effective way than 3D imaging, computer generated images, etc. Photographs serve several important roles in rhinoplasty including the ability to document changes in the nose, help in planning surgery, and facilitate in accurately depicting the shape of the nose. Most rhinoplasty surgeons use standardized views to accomplish these goals. These standard views include a frontal view, right/left oblique views, right/left lateral views, and a base view [1].

It has been the senior author’s experience that an additional view can add additional information in more accurately depicting the nose. The nose is a three dimensional object, therefore it would stand to reason that viewing the nose from another angle may help provide a more complete picture of it and enhance subtle nuances which could be otherwise missed without it. We propose an additional view for use in rhinoplasty, which we term the bird’s eye view. This view, which depicts the top of the nose looking down, has been named such since it is a complimentary view to the base view, otherwise known as the worm’s eye view. It offers several advantages, including enhanced understanding of asal deviation and fracture, improved preoperative planning, and assistance with patient education and communication.

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