JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2018, Vol. 32 ›› Issue (1): 10-13.doi: 10.6040/j.issn.1673-3770.1.2017.046

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Rhinoplasty for a crooked nose

ZHANG Weitian, MAO Song   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Six Peoples Hospital, Shanghai Jiao Tong University, Shanghai 200233, China
  • Received:2017-10-30 Online:2018-01-20 Published:2018-01-20

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Abstract: Rhinoplasty for a crooked nose should address both aesthetic appearance and nasal function. The upper one-third of the crooked nose is corrected by osteotomy, and the middle one-third is always addressed by septum correction. The dorsum may be straightened by a variety of methods, including scoring, excision, spreader grafts, and autospreader flaps. Caudal septal deviation is treated with scoring, excision, and repositioning of the septum on the anterior nasal spine. Different osteotomies are adopted in different types of crooked nose. Treatment of inferior turbinate hypertrophy and internal valve collapse is essential to correct the functionally compromised airway of a crooked nose. Columellar strut grafts, tip suturing techniques, and alar base excision are used to correct nasal tips and alae.

Key words: Crooked nose, Nasal septum deviation, Rhinoplasty

CLC Number: 

  • R765.9
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