DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20193868

Crooked nose correction: an institutional experience

Anandita Das

Abstract


Background: Crooked noses pose a particular challenge in nasal reconstruction, even for the most experienced of surgeons, as there is inevitably a combination of functional and aesthetic abnormalities which need to be addressed. Crooked nose deformity is a common presentation in the ENT clinic due to raise in the road traffic accidents.

Methods: This was a prospective study conducted in the Department of ENT, GMCH. All the cases of crooked noses presenting to our department was included in the study. The patients were subjected to a proper history and thorough physical examination. Preoperative nasal analysis was done using photography and nasal endoscopy. The type of intervention for each patient and their outcome was analyzed.  

Results: The majority of the crooked nose was due to blunt force trauma sustained during road traffic accidents (RTA) or during physical violence. In all crooked nose with an external deformity, there is an underlying septal deformity. The aim of the surgery is to achieve an aesthetically pleasing and a physiologically functioning nose.

Conclusions: From the present study, we can conclude that the majority of the crooked nose was due to blunt force trauma sustained during road traffic accidents or due to physical violence. Besides having a considerable external deformity, majority of the cases also had functional problems too and this two aspects could be addressed properly by doing a septorhinoplasty. 


Keywords


Crooked nose, RTA, Septorhinoplasty, Osteotomy, Extracorporeal septoplasty

Full Text:

PDF

References


Micheli Pelligrini V. Il naso torto. Padova: La Garangola; 1985.

Boccieri A. The crooked nose. Acta Otorhinolaryngol Ital. 2013;33(3):163-8.

Jang YJ. Practical Septorhinoplasty – An Asian Perspective. 1st Ed. Seoul Koon Ja Publishing Inc; 2007: 210.

Saleh H, Rennie C. Scott Brown’s Otorhinolaryngology Head and Neck Surgery (8th edition). 1133;3.

Byrd HS, Salomon J, Flood J. Correction of the crooked nose. Plast Reconstr Surg. 1998;102:2148-57.

Hussein WKA. Crooked nose: An update of management strategies. EJENTAS. 2015;16(1):1-7.

Ellis DA, Gilbert RW. Analysis and correction of the crooked nose. J Otolaryngol. 1991;20(1):14-8.

Hoffman J. Management of the twisted nose. Oper Tech Otolaryngol Head Neck Surg. 1999;10(3):232-7.

Liu C, Legocki AT, Mader NS, Scott AR. Nasal fractures in children and adolescents: Mechanisms of injury and efficacy of closed reduction. Int J Pediatr Otorhinolaryngol. 2015;10(3):2238–42.

Lee DH, Jang YJ. Pediatric nasal bone fractures: Does delayed treatment really lead to adverse outcomes? Int J Pediatr Otorhinolaryngol. 2013;77(5):726–31.

Kelly BP, Downey CR, Stal S. Evaluation and reduction of nasal trauma. Semin Plast Surg. 2010;24(4):339-47.

Murray JA, Maran AG. The treatment of nasal injuries by manipulation. J Laryngol Otol. 1980;94:1405-10.

Crowther JA, O’Donaghue GM. The broken nosedoes familiarity breed neglect? Ann R Coll Surg Engl. 1987;69:259-60.

Waldron J, Mitchell DB, Ford G. Reduction of fractured nasal bones; local versus general anaesthesia. Clin Otolaryngol Allied Sci. 1989:14:357-9.

Bailey Bj, Tan LKS. Nasal and frontal sinus fractures. In: Bailey BJ, editor. Head and Neck Surgery – Otolaryngology. 2nd ed. Philadelphia, PA: Lippincott –Raven; 1998: 1007-1031.

Barsova GK, Arsova S. The impact of the Nasal Trauma in Childhood on the Development of the Nose in Future. Open Access Maced J Med Sci. 2016;4(3):413-9.

Bien JD, Skarzynski PH, Gwizdalska I, Lazecka K, Skarzynski H. Complications in septoplasty based on a large group of 5639 patients. Eur Arch Otorhinolaryngol. 2018;275(7):1789-94.

Qian SY, Malata CM. Avoid inf pitfalls in open augmentation rhinoplasty with autologous L-shaped costal cartilage strut grafts for saddle nose collapse due to autoimmune disease: the Cambridge experience. J Plastic Reconstructive Aesthetic Surg. 2014;67(8):195.

Guyuron B, Afrooz PN. Correction of cocaine – related nasal defects. Plast Reconstr Surg. 2008;121(3):1015-23.

Eymoortash A, Fasunla JA, Sazgar AA. The value of spreader grafts in rhinoplasty: a critical review. Eur Arch Otorhinolaryngol. 2012;269(5):1411–6.

Villafuerte CV, Dy AE, Lapeña JF. An Initial Survey of Septorhinoplasty in Crooked Nose Deformities. Philipp J Otolaryngol Head Neck Surg. 2016;31(1):31-4.

Neaman KC, Boettcher AK, Do VH, Mulder C, Baca M, Renucci JD. Aesthet Surg J. 2013:33(1):31-7

Gubisch W. The extracorporealseptum plasty: a technique to correct difficult nasal deformities. Plast Reconstr Surg. 1995:95672-82.