The Deviated Nasal Tip: A Personal Technique for Correction Using Monolateral Crural Overlay and Monolateral Dome...

Area of Science:

• Plastic Surgery
• Rhinoplasty Techniques
• Facial Aesthetic Surgery

Background:

• Nasal tip deviation, whether congenital or posttraumatic, presents a complex reconstructive challenge.
• Existing treatment strategies for nasal tip deviation often struggle with the variability and complexity of deformities.
• Lower lateral cartilage asymmetry is frequently implicated in nasal tip deviation.

Purpose of the Study:

• To present and evaluate a novel approach for correcting nasal tip deviation using monolateral crural overlay or monolateral dome truncation.
• To assess the efficacy and patient satisfaction of these monolateral interruptive techniques in restoring nasal symmetry.

Main Methods:

• Analysis of 158 patients with nasal tip deviation treated between January 2015 and October 2019.
• Application of monolateral interruptive techniques (lateral crural overlay or monolateral dome truncation) to the lower lateral cartilage.
• Preoperative and 1-year postoperative photographic assessment of nasal axis deviation and patient self-assessment questionnaires.

Main Results:

• Significant reduction in mean nasal deviation from 6.59° preoperatively to 1.56° postoperatively (p < 0.05).
• Mean improvement in nasal deviation ranged from 2.7° to 15.1°, with an average of 6.1°.
• High patient satisfaction reported, with 95.23% of patients satisfied or very satisfied after 1 year, and 4.76% requiring revision surgery.

Conclusions:

• Monolateral interruptive techniques (lateral crural overlay or monolateral dome truncation) are effective and feasible for correcting nasal tip deviation.
• These techniques reliably restore nasal tip symmetry, with results that are stable at 1-year follow-up.
• The described methods achieve high patient satisfaction, making them a valuable option for nasal tip reconstruction.