European Journal of Plastic Surgery

, Volume 42, Issue 2, pp 135–144 | Cite as

Esthetic and functional result of crooked nose treatment; internal microperforating osteotomy and subtotal septal reconstruction

  • Hadi NuralEmail author
Original Paper


Crooked nose is mostly characterized by a deviation of both the bone and the cartilaginous parts of the nose. In order to obtain proper functional and improved esthetic results, both of these parts have to be corrected. The objective of this study is to evaluate the esthetical and the functional outcomes following correction procedures of the bone pyramid through internal microperforating technique and the cartilaginous part through subtotal septal reconstruction. The medical records of 158 patients who have undergone through primary septorhinoplasty for crooked nose treatment during the period of 21 June 2016 and 31 July 2017 have been reviewed. Functional results have been evaluated using the Nasal Obstruction Symptom Evaluation (NOSE) scores and the esthetical results through Rhinoplasty Outcome Evaluation (ROE) scores. The observation times have been arranged preoperatively as 6 months–1 year (group 1) and 1–2 years (group 2). Septorhinoplasty procedure has been performed on 158 patients with crooked noses. Out of this number, 104 of the patients (65.8%) were women and 54 were men (34.2%). The average age of the patients was 31.59 (9.3%), all of who have undergone this procedure. There was a significant improvement (P < 0.001) in the NOSE and the ROE scores of group 1 and group 2, which was statistically significant. There was no difference between group 1 and group 2. In crooked nose treatment, correction of the deviated bone pyramid using internal microperforating osteotomy and correction of the severely deviated septum using subtotal septal reconstruction yield improved functional and esthetic results.

Level of Evidence: Level V, therapeutic study.


Crooked nose Internal microperforating osteotomy Subtotal septal reconstruction Rhinoplasty 


Compliance with ethical standards


The authors received no funding for this study.

Conflict of interest

Hadi Nural declares that he has no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

Informed consent

All patient cases were performed only after obtaining informed consent for the surgical procedure.

Patient consent

Patients provided written consent for the use of their images.

Supplementary material

238_2018_1469_MOESM1_ESM.mp4 (162.2 mb)
ESM 1 (MP4 166131 kb)


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Mediface Medical CenterAntalyaTurkey

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