A significant number of patients who undergo revision septoplasty also have nasal valve collapse. We recommend that in addition to septal deviation and inferior turbinate hypertrophy, nasal valve function be fully evaluated before performing septoplasty. This will help to ensure a complete understanding of a patient's nasal airway obstruction and, consequently, appropriate and effective surgical intervention.

The most challenging and instrumental step in achieving harmonious form and function during rhinoplasty is the successful completion of osteotomies. Osteotomies are performed to correct deformities of the bony nasal vault. Successful treatment of deformity of the bony vault is achieved through organized thinking, comprehensive knowledge of nasal anatomy, and thorough preoperative and intraoperative planning. In this review the authors discuss the pertinent anatomy, technical considerations, and complications that rhinoplasty surgeons should be aware of to optimize the correction of deformities of the nasal bony vault.

Many factors influence the maintenance of tip position in patients who have undergone rhinoplasty. One should consider using a stabilization technique to help resist displacement of the nasal tip. Clinical and operative findings, as well as secondary effects, are used to help determine which technique should be used.

Patients reconstructed with their own intact native chain during aural atresia surgery have better audiometric outcomes than those undergoing OP and are less likely to undergo revision surgery.

Techniques used for the diagnoses and treatment of septal deformity vary according to indications for the procedure and surgeon preference. Septoplasty is commonly performed to treat septal deformity causing nasal airway obstruction. Various preoperative and intraoperative "pearls" that the authors have found to be helpful in treating septal deformity and nasal airway obstruction are discussed.