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Correction of the crooked nose
1Department of Plastic Surgery at the University of Texas Southwestern Medical Center, Dallas, USA.
Plastic and Reconstructive Surgery
|November 12, 1998
Summary
Correcting a crooked nose is challenging in rhinoplasty. This study details an anatomic reconstruction technique for twisted noses, achieving successful straightening without compromising nasal aesthetics or support.
Area of Science:
- Plastic Surgery
- Otolaryngology
- Facial Plastic Surgery
Background:
- Correcting a crooked nose is a complex challenge in rhinoplasty.
- Existing surgical approaches, including anatomic reconstruction and camouflage, have high revision rates.
- A standardized, effective method for anatomic correction of twisted noses is needed.
Purpose of the Study:
- To describe an open-approach, anatomic reconstruction technique for correcting twisted noses.
- To evaluate the efficacy of this technique in achieving a straight nasal profile and stable skeletal support.
Main Methods:
- An open-approach rhinoplasty was performed, freeing the septum from surrounding structures.
- Septal deformities were corrected via cartilage resection, repositioning, and sutures.
- Skeletal support was rebuilt using spreader-extension and batten grafts.
- Nasal tip and lateral crus deformities were addressed with specific grafting and suturing techniques.
Main Results:
- The described anatomic approach successfully straightened the crooked nose.
- Skeletal support and nasal aesthetics were maintained throughout the procedure.
- This technique effectively addressed complex septal and lateral crus deformities.
Conclusions:
- An open-approach, anatomic reconstruction is a successful method for correcting twisted noses.
- The technique provides stable skeletal support and desirable aesthetic outcomes.
- This approach offers a reliable solution for challenging rhinoplasty cases.