Outcome of Surgery for Crooked Nose: An Objective Method of Evaluation

Abstract

It is difficult to achieve satisfactory results in the correction of crooked noses. The angle measurement method using the Scion Image computer program may be helpful in evaluating the effectiveness of different surgical techniques.

Crooked nose: outcome evaluations in rhinoplasty

“…The natural force existing in the cartilaginous structures and soft tissue (shortened muscles and connective tissue on the crooked side) continue to act on the nose submitted to rhinoplasty and makes it difficult to achieve an excellent result in the postoperative time. Another factor which may cause the nose to return to its crooked shape is the incomplete correction of the deviated nasal septum 3,9,10 . In our sample, septoplasty associated with rhinoplasty was done in 90% of the patients, a similar result to another study in which 89% of the patients were submitted to septoplasty 6 .…”

“…Although the crooked nose correction requires the use of more elaborated techniques, our study showed that 68.4% of patients submitted to rhinoplasty to correct a crooked nose obtained excelled postoperative results (satisfaction ≥75), as depicted on Table 2. Okur et al, analyzed deviated angle measures from an objective method (result quantification based on a computer program), and considered that the closer the postoperative angle was from the ideal angle, the greater was the surgery's success rate 3 . They reported that 66.7% of the patients reached good or excellent results (result ≥70) 3 .…”

“…Okur et al, analyzed deviated angle measures from an objective method (result quantification based on a computer program), and considered that the closer the postoperative angle was from the ideal angle, the greater was the surgery's success rate 3 . They reported that 66.7% of the patients reached good or excellent results (result ≥70) 3 . So far, the literature has no paper describing result assessment utilizing the ROE Questionnaire in patients submitted to rhinoplasty to correct a crooked nose.…”

“…Pre and intraoperative planning are essential in order to achieve good results; the surgeon must carefully examine the nose in order to determine which pathological condition there is and which surgical procedure is needed 2 . The crooked nose is a generic term used to define all deformities which involve the nasal pyramid deviation in relation to the facial medio-sagittal plane 3 . The crooked nose is the result of complex deformities which may involve the bony nasal pyramid, the upper and lower lateral cartilages and, especially, the nasal septum, leading to cosmetic and functional complaints 4 .…”

Septorhinoplasty by disarticulation: early assessment of a new technique for morphological correction of crooked noses

“…Correction of crooked noses is considered one of the most di cult septo-pyramidal surgical procedures (9) and several techniques have been proposed (10)(11)(12)(13) . SRD improves frontally, deviated, nasal crests by 64.3% (Table 1) Whilst 65% of nostrils were asymmetric before surgery, 52% had become symmetric afterwards.…”