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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Classification of the deviated nose and its treatment
Yong Ju Jang1, Jong Hwan Wang, Bong-Jae Lee
1Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-2dong, Songpa-gu, Seoul 138-736, South Korea. jangyj@amc.seoul.kr
Archives of Otolaryngology--Head & Neck Surgery
|March 19, 2008
Summary
A new classification system for deviated noses was developed and tested. This simplified approach aids in understanding nasal deviations and improving rhinoplasty outcomes.
Area of Science:
- Otolaryngology
- Plastic Surgery
- Facial Anatomy
Background:
- Deviated nose is a common condition impacting nasal function and aesthetics.
- Existing classifications can be complex, hindering standardized treatment approaches.
Purpose of the Study:
- To introduce a simplified classification system for nasal deviations.
- To correlate this classification with surgical outcomes following rhinoplasty.
Main Methods:
- Retrospective analysis of 75 patients undergoing rhinoplasty for deviated noses.
- Classification based on the orientation of the bony pyramid and cartilaginous vault relative to the facial midline.
- Minimum follow-up of 36 months.
Main Results:
- Five types of deviated noses were identified, with Type I (straight tilted bony pyramid, opposite tilted cartilaginous vault) being most common (32%).
- Overall successful outcomes were achieved in the majority of patients across all types.
- A higher proportion of unsuccessful outcomes were noted in cases approached endonasally.
Conclusions:
- The proposed 5-type classification provides a simplified framework for understanding deviated noses.
- This classification can be a valuable tool for guiding surgical planning and predicting treatment outcomes in rhinoplasty.
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