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
[1] Ahmad J, Rohrich RJ. The crooked nose[J]. Clin Plastic Surg, 2016(43):99-113.
[2] Vuyk HD. A review of practical guidelines for correction of the deviated, asymmetric nose[J]. Rhinology, 2000, 38(2):72-78.
[3] Rohrich RJ, Gunter JP, Deuber MA, et al. The deviated nose: optimizing results using a simplified classification and algorithmic approach[J]. Plast Reconstr Surg, 2002, 110(6):1509-1523.
[4] Ors S, Ozkose M, Ors S. Comparison of various rhinoplasty techniques and long-term results[J]. Aesth Plast Surg, 2015, 39(4):465-473.
[5] Gunter JP, Rohrich RJ. External approach for secondary rhinoplasty[J]. Plast Reconstr Surg, 1987, 80(2):161-174.
[6] Jin HR, Won TB. Recent advances in Asian rhinoplasty[J]. Auris Nasus Larynx, 2011, 38(2):157-164.
[7] Parker PJ. Grafts in rhinoplasty: alloplastic vs. autogenous[J]. Arch Otolaryngol Head Neck Surg, 2000, 126(4):558-561.
[8] Ahn JM. The current trend in augmentation rhinoplasty[J]. Facial Plast Surg, 2006, 22(1):61-69.
[9] Matsuaga RS. Augmentation rhinoplasty of Asian noses[J]. Facial Plast Surg Clin North Am, 1966, 4(1):75-85.
[10] Jang YJ, Alfanta EM. Rhinoplasty in the Asian nose[J]. Facial Plast Surg Clin NA, 2014, 22(3):357-377.
[11] Rohrich RJ, Ahmad J. A practical approach to rhinoplasty[J]. Plast Reconstr Surg, 2016, 137(4):725e-746e.
[12] Fisher DM, Lo LJ, Chen YR, et al. Three-dimensional computed tomographic analysis of the primary nasal deformity in 3-month-old infants with complete unilateral cleft lip and palate[J]. Plast Reconstr Surg, 1999, 103(7):1826-1834.
[13] Daniel RK, Ethier R. Rhinoplasty: a CT-scan analysis[J]. Plast Reconstr Surg, 1987, 80(2):175-184.
[14] Rohrich RJ, Ahmad J. Rhinoplasty[J]. Plast Reconstr Surg, 2011, 128: 49e-73e.
[15] 张家雄, 邹文焘, 蔡晓菁,等. 鼻中隔偏曲矫正术伴与不伴下鼻甲部分切除术对患者术后鼻腔通气功能的影响[J]. 山东大学耳鼻喉眼学报, 2012, 26(6): 38-40. ZHANG Jiaxiong, ZOU Wentao, CAI Xiaojing, et al. Effects of nasal cavity ventilation function by septoplasty with and without partial inferior turbinatomy[J].J Otolaryngol Ophthalmol Shandong Univ, 2012, 26(6): 38-40.
[16] 郭涛, 孙敬武, 胡燕明,等. 黏膜下下鼻甲骨部分切除联合骨折外移术的临床疗效[J]. 山东大学耳鼻喉眼学报, 2010, 24(3):44-46. GUO Tao, SUN Jingwu, HU Yanming, et al. Sub-mucoperiosteous partial resection in combination with fractured-bone removal for chronic hypertrophioc rhinitis[J]. J Otolaryngol Ophthalmol Shandong Univ, 2010, 24(3):44-46.
[17] 李娜. 鼻内镜辅助下的鼻中隔-鼻整形术[J]. 山东大学耳鼻喉眼学报, 2013, 27(1):8-9.
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