Monthly Archives: January 2012

Coining Term: Round Nose be called Double Barrel Nose/Nostrils

The Round Nostril (The Round Nose) is widely prevalent in Asian countries China, North Korea, South Korea, Japan , Thailand, Myanmar, Cambodia, Laos, Vietnam, Malaysia, Indonesia and Philippines. Some people call it inappropriately ‘Asian Nose’. We know that the Asia includes Russia, South Asia, Middle East, the Central Asia where such nose is rare. The round nose is also found in African and American blacks.

Let us coin a term for this kind of Nose. As it appears like a double barrel gun, it is plausible that we call it DOUBLE BARREL NOSE (DBN) or as the wings of the nose are wide and appear like air filled Parachutes we can call it DOUBLE PARACHUTE NOSE (DPN).


Double barrel Nose (DBN) may be small, medium or of large size. It consists of generally normal or slightly wide root of the nose. As we go down, DBN gradually or suddenly becomes wide. Tip of the nose is not prominent or may be completely absent. Generally, nostrils are directed downward or slightly forward. In the bottom view of the nose, DB nostrils are clearly visible. Inside the nostrils, nose hair and nasal Septum are also visible.

An example of  Asian type of Double Barrel Nostrils.

A good example of  African type of Double Barrel Nostrils.

What causes Snoring?

Have you ever thought that what causes you to snore? There are four main causes of snoring. The first and foremost cause, which is the most common cause in most of the people, is being overweight. Excessive fat on your neck makes the passage of air narrow and thus causes you to snore. The extra weight is due to poor eating habits in people together with a lack of exercise. This causes obesity which then leads to a snoring tendency.

The second major cause of snoring in most people is consumption of alcohol and sleeping pills or tranquilizers before going to sleep. It has been proved that alcohol and tranquilizers can depress your central nervous system and loosen up the muscles of your jaw and throat, making snoring more likely. Hence consumption of alcohol before, or even two to three hours before sleeping, can cause snoring.

The third reason for snoring that is very common in most of the snorers is smoking and nasal congestion. Smoking is an activity that makes your body produce excessive mucus. This causes the passage of air to block and results in snoring. Most smokers have a problem of nasal congestion. Also some people do not take care of their nasal problems and leave them untreated. This results in obstructing the free path of air while you sleep and causes difficulty in breathing. This difficulty in breathing is witnessed as snoring.

Remedies Of Nasal Congestion

Nasal congestion normally refers to a stuffy or blocked nose. Sometimes we may find both our nostrils are completely blocked. As a result, we have no choice but to breathe through our mouth.One might think have the impression that the cause of stuffy nose is due to abnormal amount of mucus clogging up the nasal passages. This is incorrect. In fact, nasal congestion occurs when the mucosa within the nose becomes swollen. Another reason could be that the inferior nasal turbinates are exceptionally large. A nasal turbinate is a long shell-like bone which protrudes into the breathing passage of the nose. It performs the function of warming and humidifying the inhaled air before it reaches the lungs.

You may find it hard to believe that 37 million Americans suffer with sinus infections each year and it is more prevalent today than it was in the pre-antibiotic age! But that is not to say that antibiotics are not effective in treating it. In fact when sinusitis occurs the use of antibiotics to kill the infectious bacteria is the best way. In this way we look at infection sinus treatment to help alleviate the symptoms related to sinus infections.One of the best infection sinus treatment tips is to take a decongestant. Also the use of oral or topical steroids for combating sinus inflammation as well as antihistamines for those where underlying allergies are involved are other forms of treatment for sinus infection.

The Blocked Nose accompaniment may be acquired by allergic conditions, bacterial or viral infections, such as an normal cold. Head injuries may as well can cause balance nasal discharges. Environmental causes such as dealing with strong smells may as well be the cause of this symptom. Less often, is the possibility of Runny Nose can be acquired by the growing of an ectopic tooth inside your nose. If you approved all the medications and still don’t see results, ask for an X-Ray browse to make sure you don’t have teeth related problems.

The consumption of hot liquids is another classic and effective home remedy for nasal congestion. Hot tea or hot apple cider is a good choice. Hot soups are a traditional home remedy for nasal congestion, colds and flu. There really is something to the old jokes about “Jewish penicillin:” the consumption of hot liquids can cause your nose to run, flushing out congestion and irritation. Spicy liquids, including spicy soups like Chinese Hot and Sour soup, can be even more effective. Another traditional home remedy for nasal congestion is right under your nose: the use of a chest rub on your chest, or just under your nose, to be specific. Many of the over the counter rubs have menthol as a major constituent. In addition, camphor and oil of eucalyptus can be added to such medicated ointments to aid in the clearing of the sinuses and the re-establishment of unfettered breathing.

Steam can be a another great home remedy for nasal congestion. If you are able, hot showers or a steam room are a good choice. Of course, there is the old trick of holding your head over a steaming bowl, being careful not to let the steam burn your face. Putting an essential oil like mint oil or orange oil into the steaming water will strengthen the treatment.Dietary changes can go a long way to keeping the congestion from getting out of hand in the first place. Raising your intake of vitamin C and zinc will be a pro-active step in dealing with nasal congestion in the home. Another easy way to deal with mucus is to stay hydrated. Instead on the old saw of eight glasses of water a day, set a goal of one half ounce of water for every pound you weigh. Granted, that is an aggressive goal, but a good one to strive for.

Upon returning from this latest trip I decided to purchase an inexpensive humidity gauge and put it in our bedroom to deep a closer eye on the actual levels in our sleeping environment. Right now the levels are in the 50% range, which is pretty good. We live at over 7,000 feet of elevation, and we have several windows open at night at this time of year to cool off the room. During most of the year we do use a humidifier, especially in the winter months. When the furnace is on the humidity drops quite a bit, and I will now be able to monitor the levels and make better use of a humidifier with the humidity gauge. Air conditioning will also dry out the air in a room or in an automobile, so keeping close watch of this is important for people like me who continually battle nasal congestion problems.

‘The art and science of nasal surgery’

‘The art and science of nasal surgery’

Proportion and balance determine symmetry and beauty

Rhinoplasty – cosmetic or plastic surgery of the nose – is not simply about medical science and technical expertise.
It is also about aesthetic appreciation and visual-spatial skills. Knowledge of
the correct proportions makes all the difference to nasal surgery results.
The ideal nose conforms to smooth triangular shapes, which is why the Nose
Clinic applies a system of triangles to achieve the optimum individualised
results for every patient.

The Nose Clinic uses triangular overlays and digital previews to plan the aesthetic proportions of the nose.
Cosmetic surgery requires many skills, one of the most important being aesthetic appreciation – a finely judged awareness of beauty and an intuitive grasp of balanced proportions. Nasal surgery is particularly demanding in this regard. Inaccurate or less than optimum results can affect the entire face, with devastating effects on a patient’s appearance and self-esteem — just ask any of the Nose Clinic’s ‘redo’ patients (46% of the total number) who come to us for revision surgery to correct disappointing results produced elsewhere.
While most noses correspond to basic geometric shapes, every individual nose exhibits subtle variants. It requires talent and skill to assess the underlying anatomical structure of a face. If you deconstruct your own face, for example, you’ll see that your features correspond to triangles, with your eyes forming an inverted pyramid in relation to your mouth and chin. Underlying these triangles, your nose has 240 anatomical variations, each of which will affect the functional and aesthetic outcome of your nasal surgery.
The beauty of nasal surgery is that it brings about local change – but has a global effect. Simply put, rhinoplasty can vastly improve not only the appearance of your nose, but that of your entire face. While we encourage our patients to choose nasal surgery for their own satisfaction – not to please partners or friends – they often find that, after surgery, they don’t only enjoy new-found self-confidence, but that family, friends and colleagues react more positively towards them. We all strive, consciously or unconsciously, for beautifully balanced proportions!
The anatomy of the nose can easily be understood in terms of triangular shapes. The external anatomy or shape of the nose is divided into triangles and thirds. Whether you view your nose from the front, side or bottom, the shape remains a triangle.
Rhinoplasty - External Triangles

Rhinoplasty – External Triangles
This focal point can therefore be described as a three-sided triangle set in the middle third of your face. The nose itself can be divided into three distinct parts. The upper third has a bone structure. The two lower thirds are made of flexible upper and lower lateral cartilages.
  1. The lateral triangle or side view represents the outline of the ideal profile. The shape of the nose should not overlap the sides of the triangle.
  2. When viewed from the front, the triangle defines the outline of the ideal nose. Again, the nose should not overlap the outline of the triangle.
  3. Even when viewed from below, the nose should retain the triangular shape. The nostrils should not overlap the triangular outline.

Rhinoplasty - Functional Anatomy

Rhinoplasty – Functional Anatomy
The septum is made of cartilage and bone and divides the interior of the nose into two triangular spaces. These spaces are usually about the same size. On the lateral sides of the nasal cavity you will find the three turbinates — consisting of fixed bone and soft tissues — that swell or shrink in response to different stimulants or conditions.

1. Your nose should comfortably conform to the ideal triangle. We reshape it by trimming or repositioning the nasal bones and the upper and lower lateral cartilages. Incisions are made inside the nose.

2. We trim the nasal bones to reduce the height of the upper third of the nose.
3. The middle third of the nose is reduced by trimming the upper lateral cartilage and the septum.
4. Shortening the septum and the upper lateral cartilages can raise the tip of your nose.

5. We shape the tip of your nose by trimming the lower lateral cartilages.

6. This is the result. Your nose corresponds to the model triangle, enhancing the overall appearance of your face.
( John B. Tebbits. 1989. Primary Rhinoplasty: a new approach to the logic and techniques. Mosby )

Nose tip projection in relationship to the chin.

Ideal Nose

This is a sub-optimal (poor) result. Notice how the tip of the nose droops.
Ideal Nose

Here is a good result. Notice how a ‘tip rotation’ sharpens the profile