PMC6051275_01
(a) Preoperative frontal view. (b) Preoperative right lateral view. (c) Preoperative right lateral cephalogram demonstrating a thick anterior table.
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On physical exam, she had a prominent superior orbital rim, right nasal septum deviation, a dorsal hump, and airway obstruction on the right side with a droopy tip (Figures 3(a) and 3(b)). Preoperative lateral cephalograms confirmed a thick anterior table of the frontal sinus making her an ideal candidate for endoscopic reduction (Figure 3(c)).
(a) Postoperative right lateral cephalogram. (b) Postoperative frontal view at 2 years. (c) Postoperative right lateral view at 2 years.
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Postoperative lateral cephalograms demonstrated thinning of the supraorbital prominence with a less acute angle at the superciliary arches (Figure 4(a)). At 3-month, 2-year, and 4-year follow-ups, she developed no complications, had an excellent aesthetic result, and was satisfied with the procedure (Figures 4(b) and 4(c)).
PMC6051275_02
(a) Preoperative frontal view. (b) Preoperative right lateral view.
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On examination of her face, she had a prominent supraorbital ridge, brow descent with wrinkling of the forehead, and a large masculine nose (Figures 5(a) and 5(b)).
(a) Postoperative frontal view at 2 weeks. (b) Postoperative right lateral view at 2 weeks.
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At 2-week follow-up, she had excellent healing with pleasing results (Figures 6(a) and 6(b)) and postoperative lateral cephalograms demonstrated adequate thinning of the supraorbital prominence.
PMC6051275_03
(a) Preoperative and postoperative anterior view of facial bones using CT with 3D reconstruction. (b) Preoperative and postoperative right lateral view of facial bones using CT with 3D reconstruction.
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CT of the postoperative facial bones with 3D reconstruction demonstrated a less acute angle at the superciliary arches with an anterior table set back (Figures 7(a) and 7(b)).
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