Summary
A deviated nose is corrected by straight realignment and long-term maintenance of
the bony and cartilaginous structure. Traditional rhinoplasty usually involves complete
separation of both upper lateral cartilages from the septum and bilateral bony mobilisation
after osteotomy. In the Asian deviated nose with no hump, these procedures are intrinsically
destabilising and may weaken the supporting bony and cartilaginous structure. To avoid
these problems, I performed unilateral bony mobilisation with anterior wedge resection
and suture fixation of the dorsal septum to the nasal bone without separation of the
upper lateral cartilage. This manoeuvre is simple and reproducible and produces satisfactory
straightening and maintenance of the nasal dorsum while maximally preserving the structural
support. Here, I describe the surgical techniques including the choice of the site
of unilateral osteotomy and wedge resection, a new classification of bony deviation,
two surgical modifications applied to different types of deviation and rationale of
dorsal septal suture fixation. Also, clinical cases of nasal deviation are presented.
Keywords
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References
- Unilateral osteotomies for external bony deviation of the nose.Plast Reconstr Surg. 1997; 100: 115-123
- Unilateral osteotomies for externally deviated noses.Aesthetic Plast Surg. 2002; 26: 413-415
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- The deviated nose: optimizing results using a simplified classification and algorithmic approach.Plast Reconstr Surg. 2002; 110: 1509-1523
Article info
Publication history
Published online: June 06, 2006
Accepted:
March 17,
2006
Received:
December 16,
2005
Identification
Copyright
© 2006 The British Association of Plastic Surgeons. Published by Elsevier Inc. All rights reserved.
