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Updated: Jun 24, 2025

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Nasal Deviation and Facial Asymmetry in Patients Undergoing Rhinoplasty.
Aesthetic Surgery Journal
|June 4, 2024
Summary
Nasal deviation is more often caused by asymmetric facial growth than by nasal trauma. This study found that most patients undergoing rhinoplasty had facial asymmetry, not a history of trauma.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Anatomy
Background:
- The etiology of nasal deviation remains debated, with conflicting literature on trauma versus developmental origins.
- Understanding the primary drivers of nasal deviation is crucial for effective surgical planning in rhinoplasty.
Purpose of the Study:
- To determine the prevalence of nasal trauma and facial asymmetry in patients undergoing rhinoplasty.
- To investigate the correlation between facial asymmetry laterality and nasal deviation.
Main Methods:
- Retrospective review of 76 primary rhinoplasty patients.
- Analysis of patient charts and clinical photographs.
Main Results:
- 68% of patients had deviated nasal bones and 46% had deviated nasal tips.
- 70% exhibited asymmetric midfaces, and 36% had deviated chins.
- Nasal bone deviation correlated with midface hypoplasia (P = .008); nasal tip deviation correlated with septal deviation (P = .001).
Conclusions:
- Asymmetric facial growth is the predominant factor in nasal deviation.
- Nasal trauma history was less prevalent and not significantly associated with the observed deviations.
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