Abstract: Objective To summarize the clinical data of 33 patients with crooked nose and nasal septum deviation undergoing endoscope-assisted nasal plastic surgery and nasal septum deviation correction, and to analyze the surgical methods used and postoperative effects. Methods All patients underwent endoscope-assisted osteotomy and correction of the nasal septum via the nasal cannula, the nasal vestibule incision under general anesthesia, with exposure of the subperiosteal nasal and maxillary frontal processes. The removed nasal septum and cartilage were trimmed to fill the collapsed area and support the columella, and a dressing was applied to the nose. Turbinoplasty was also performed during the procedure. After surgery, all patients were followed-up for more than 3 months. Results All patients achieved satisfactory surgical outcomes and good nasal ventilation. Conclusion Nasal endoscope-assisted rhinoplasty and nasal septum deviation correction are effective and without rejection. This procedure can not only improve the appearance of the nose, but can also improve nasal ventilation.

Key words: Endoscopic surgical procedures, operative, Nasal septum deviation, Surgery, plastic, Crooked nose