The Relationship Between Facial Asymmetry and Nasal Septal Deviation

Abstract

We demonstrate that there is a strong relationship between nasal septal deviation to the right and a wider right hemiface in facial asymmetry patients. Also, facial asymmetry patients tend to have a wider right side of the face compared to the left side.

Influence of nasal septum deviation on fluctuating asymmetries of the nasomaxillary complex: A cross‐sectional study

“…Previous studies comprising adolescents and adult subjects (14–71 years old) revealed an association between nasal septum deviation and deviated nose with facial asymmetries through photographic analysis (Hafezi et al, 2010; Kim et al, 2011) and using computed tomography (CT) (Hartman et al, 2016; Holton et al, 2012; Hun et al, 2015). Hafezi et al (2010) found a high incidence of facial asymmetry in patients with deviated nose.…”

“…Hafezi et al (2010) found a high incidence of facial asymmetry in patients with deviated nose. The direction of septal deviation was associated with growth differences between the right and left sides of the face (Kim et al, 2011), as well as it was shown that there was a strong relationship between NSD to the right and wider right hemiface in patients with facial asymmetry (Hun et al, 2015). The results of the study by Holton et al (2012) indicated a significant correlation between nasal septum volume and craniofacial shape, probably due to the need to accommodate the septal volume.…”

“…Several etiological factors have been attributed to skeletal facial asymmetry, such as genetic or congenital malformations (hemifacial microsomia and unilateral clefts of the lip and palate), environmental factors (habits and trauma), and functional deviations (mandibular shifts due to occlusal interferences) (Bishara et al, 1994). Although causality cannot be determined, there is a relationship between anatomical deviation of the nasal septum (NS) and facial development (Hartman et al, 2016; Holton et al, 2012; Hun et al, 2015).…”

“…The nasomaxillary complex and the nasal septum are structures with a straight anatomical contact (Figure 1), and nasal septum is known to play a direct role in premaxillary growth (Delaire & Precious, 1986). NSD is thought to influence the development of the nasomaxillary complex because during the developmental period it could result in asymmetry of the face (Hun et al, 2015). Therefore, the objective of this study was to investigate the NSD and fluctuating asymmetries of the nasomaxillary complex according to skeletal maturation in order to expand the knowledge about the influence of NSD on FA at different stages of development.…”

Horizontal change of philtrum after orthognathic surgery in patients with facial asymmetry

“…Facial asymmetry (FA) is a common complaint of patients undergoing orthognathic surgery [1]. Although the severity of FA is mainly influenced by hard tissue asymmetry of the mandible and maxilla [2], soft tissue asymmetry, such as lip canting or philtrum deviation, is also an important factor that can cause an unbalanced facial appearance [3, 4].…”