Surgical Treatment of the Crooked Nose

Stepnick, David W.; Guyuron, Bahman

doi:10.1016/j.cps.2009.12.001

Cited by 36 publications

(29 citation statements)

References 25 publications

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“…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.…”

Section: Discussionmentioning

confidence: 99%

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

Boulanger¹,

Baumann²,

Beurton³

et al. 2013

Rhin

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SummaryObjective: This study was aimed to assess the early morphological results of a new septorhinoplasty technique based on disarticulation (SRD) between bony and cartilaginous nose structures. Methodology:A retrospective, multi-judge, blind comparison of pre-and post-operative photographs displayed on Google documents © was designed. A nasal morphology analysis grid based on 10 items was ful lled independently by 6 judges to assess pre-and post-operatively, two times with a 15 day interval, the severity of each deformity by a score between 0 and 2. The sum of all deformities in a single patient produced the individual global score of nasal deformity, which was set between 0 and 20 for each patient. Pre-and post-operative individual global scores were compared using Student's t test on paired samples. Percentages of post-operative improvement and deterioration were calculated for each item.Results: Thirty-ve SRD were analyzed. Before surgery, 80% of noses were humped and 86% were crooked; three months after surgery, 64% of noses had a rectilinear nasal crest on pro le and 57% on facial view. The mean global score of deformities dropped from 11.1 before surgery to 5.8 after surgery, an improvement of 47% . Improvement rates of 82% and 74.3% were obtained, respectively, for hump pro les and orbitonasal lines. Discussion:The early morphological results of SRD allow to propose this technique as a possible solution to correct crooked noses with humps.

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Section: Discussionmentioning

confidence: 99%

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

Boulanger¹,

Baumann²,

Beurton³

et al. 2013

Rhin

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show abstract

“…Medical photographs enable the identification of important facial findings that may have been missed during initial inspection and allow for comparison of the postoperative outcome and preoperative status. 6 Fundamental facial analysis includes measurements and evaluation of proportions of the eyebrows, medial canthus, nasion, rhinion, alar sidewall, alar facial junction, columella, columellar-labial junction, philtrum, mouth angle, and gnathion (Fig. 6.4).…”

Section: Medical Photographymentioning

confidence: 99%

“…6 Although preoperative clinical analysis may enable selection of a particular approach, patients who undergo the endonasal approach must be informed of the possibility of conversion to an external approach for more complete correction. In general, the endonasal approach can be applied for cases with subtle deformities of the upper or middle vault, and for patients with keloid, who require avoidance of unpredictable contractures associated with an open approach.…”

Section: Choice Of Approachmentioning

confidence: 99%

“…For this, the septum should be released from extrinsic deforming forces, with subsequent assessment of the intrinsic deformities, while preserving the L-strut. 6. The integrity of the keystone area must be maintained and the caudal end of the L-strut should be firmly affixed to the anterior nasal spine using a figure-of-8 suture.…”

Section: Dorsal Irregularity/deviationmentioning

confidence: 99%

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6 Correction of the Deviated, Twisted Nose

Jin¹

2016

Aesthetic Plastic Surgery of the East Asian Face

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“…In the treatment of a crooked nose, the publications were subjected on correcting dorsal or septal deviations. [3][4][5][6][7][8] Management of the rotated one third lower nose is addressed by releasing the lower lateral cartilages from the upper lateral at the scroll and reinforcement. [9][10][11] For the dorsal correction, there are 2 options, camouflage techniques and anatomic reconstruction, which are performed through an open approach.…”

mentioning

confidence: 99%