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Straightening the Crooked Nose

  • FACIAL PLASTICS: Functional Rhinoplasty (TD Wang and CZ Johnson, Section Editors)
  • Published:
Current Otorhinolaryngology Reports Aims and scope Submit manuscript

Abstract

Purpose of Reviews

The crooked nose is a challenge for all rhinoplasty surgeons as it produces functional and cosmetic deformities which sometimes can be very hard to correct. These deformities frequently compromise the internal and external anatomic structures of the nose. For example, deflection of the nasal septum can result in significant functional alterations of the internal and external nasal valves as well as obstruction within the nasal cavity leading to nasal obstruction at multiple levels. From a cosmetic standpoint, there can be asymmetries, deviations, irregularities of the nasal bones, and cartilaginous structures resulting in deformities of the multiple areas of the nose. A practical way of classifying deformities will be presented, and surgical techniques will be reviewed.

Recent Findings

It is important to be able to make an accurate diagnosis of the functional and cosmetic deformity of every patient. With this, a stepwise approach is created where techniques are focused on the area of the nose that is being addressed and techniques are tailored progressing from simple direct approaches to more complex reconstructions. The final goal should be to achieve a cosmetically pleasing nose where external deformities are symmetrized (made symmetrical), and function is improved or restored completely.

Summary

Management of the crooked is a real challenge even for the most experienced surgeons. Deformities are classified according to the anatomical location, and surgical techniques are defined using a stepwise approach progressing from the simpler techniques to more complicated and aggressive ones. The objective of surgery should be a nose with improved results externally which functions properly internally.

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Author information

Authors and Affiliations

  1. Private Practice Facial Plastic Surgery, Chief Department of Otolaryngology, Clinica Imbanaco, Carrera 38A #5A-100 cons 222A, Cali, Colombia

    Roxana Cobo

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  1. Roxana Cobo
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Correspondence to Roxana Cobo.

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Cobo, R. Straightening the Crooked Nose. Curr Otorhinolaryngol Rep 10, 246–252 (2022). https://doi.org/10.1007/s40136-022-00410-9

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  • DOI: https://doi.org/10.1007/s40136-022-00410-9

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