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Hump Nose and Coexisting Deviation in Rhinoplasty: Their Association and Surgical Considerations.
Su Jin Kim1, Je Ho Bang1, Kun Hee Lee1
1Department of Otorhinolaryngology-Head and Neck Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul 05278, Republic of Korea.
Journal of Clinical Medicine
|January 10, 2026
Summary
Dorsal humps and nasal deviation often occur together in rhinoplasty patients, especially bony deviations with humps. Nasal deviation significantly impacts surgical decisions more than humps alone.
Area of Science:
- Plastic Surgery
- Facial Anatomy
- Surgical Planning
Background:
- Dorsal humps and nasal deviation are common rhinoplasty concerns.
- Existing classifications address these individually, complicating combined cases.
- Understanding their association is crucial for surgical planning.
Purpose of the Study:
- To investigate the link between dorsal humps and nasal deviation.
- To evaluate how these deformities influence surgical choices in rhinoplasty.
- To assess the impact of bony versus cartilaginous deviation.
Main Methods:
- Retrospective analysis of 90 primary rhinoplasty patients.
- Classification of dorsal humps (isolated/generalized) and nasal deviation (bony/cartilaginous).
- Statistical analysis of associations and surgical technique predictors.
Main Results:
- 71% of patients had dorsal humps, 70% had nasal deviation.
- Significant association between humps and deviation (p < 0.001).
- Bony deviation strongly linked to humps (OR 14); deviation predicted osteotomy/camouflage needs.
Conclusions:
- Dorsal humps and nasal deviation frequently coexist, particularly bony deviations.
- Nasal deviation status is a stronger predictor of surgical needs than hump presence.
- An integrated classification system is needed for optimal rhinoplasty planning.
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