Association of external nose deformity in individuals with nasal septal deviation

Ravi Kishore Hubballi; Shruthi Manohar Koujalagi

doi:10.18203/issn.2454-5929.ijohns20193886

Authors

Ravi Kishore Hubballi Department of Otorhinolaryngology, Head and Neck Surgery, Vijayanagara Institute of Medical Sciences, Ballari, Karnataka, India
Shruthi Manohar Koujalagi Department of Otorhinolaryngology, Head and Neck Surgery, Vijayanagara Institute of Medical Sciences, Ballari, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20193886

Keywords:

Deviated nasal septum, Types, External nose deformity

Abstract

Background: Deviated nasal septum presents a challenge as often functional problems as well as aesthetic deformities must be addressed. Deviated nasal septum can be a result of varying pathologies and etiologies. Classifying the nasal deviation enables the surgeon to choose the appropriate operative intervention. This study is intended to know the association of external nose deformity in patients with deviated nasal septum.

Methods: 100 patients were attending to the Department of ENT, Vijayanagara Institute of Medical Sciences, Ballari with deviated nasal septum, septal dislocation, septal spur and external nose deformity. Deviated nasal septum was classified as per the classification proposed by Mladina. External nose deformity was classified into 5 types proposed by Yong Jo Jang’s classification depending on the orientation of 2 horizontal units (bony pyramid and cartilaginous subunits) with respect to facial midline.

Results: Out of 100 patients with deviated nasal septum, external nose deformity was present in 61% of the patients. Significant association was present between the deviated nasal septum and external nose deformity (p=0.01).

Conclusions: Type II (33%) deviated nasal septum was most common followed by Type VII (31%). Among the external nose deformity, Type I was most common followed by Type V. Type II deviated nasal septum was associated most commonly with Type V external nose deformity, Type VII deviated nasal septum with Type I external nose deformity and Type IV deviated nasal septum with Type I/II external nose deformity in equal frequency.

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References

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

Sam A, Deshmukh PT, Patil C, Jain S, Patil P. Nasal septal deviation and external nasal deformity: a correlative study of 100 cases. Indian J Otolaryngol Head Neck Surg. 2012;64(4):312-8.

Rohrich RJ, Gunter JP, Deuber MA, Adams WP. The deviated nose: optimizing results using a simplified classification and algorithmic approach. Plast Reconstruct Surg. 2002;110(6):1509-23.

Etigadda Y, Majeed J. Clinical and radiological evaluation of deviated nasal septum in classifying and surgical management of the deviated septum. IOSR J Dent Med Sci. 2017;16(2):13-20.

Gray LP. Deviated nasal septum, incidence and etiology. Ann Otol Rhinol Laryngol. 1978;87(50):3-20.

Pontius AT, Joseph L. Leach. New techniques for management of the crooked nose. Arch Facial Plast Surg. 2004;6:263-6.

Cerkes N. The crooked nose: Principles of treatment. Aesth Surg J. 2004;31(2):241-57.

Vuyk H D. A review of practical guidelines for correction of deviated, asymmetric nose. Rhinol. 2000;38:72-8.

Mladina R, Cujic E, Subaric M, Vukovic K. Nasal septal deformities in ear nose and throat patients: an international study. Am J Otol. 2008;29(2):75-82.

Jang JY, Wang JH, Lee BJ. Classiﬁcation of the deviated nose and its treatment. Arch Otolaryngol Head Neck Surg. 2008;134(3):311-5.

Rao JJ, Kumar VEC, Babu RK, Chowdary VS, Singh J, Rangamani VS. Classiﬁcation of nasal septal deviation—Relation to sinonasal pathology. Indian J Otolaryngol Head Neck surg. 2005;57(3):199– 201.

Goldman IB. New technique in surgeries of deviated nasal septum. Arch Otolaryngol. 1956;64(3):183-9.