Emad, A., Abdelhady, M. (2025). Outcomes of Surgical Correction of Crooked Nose Deformity: An Objective Method of Assessment. The Egyptian Journal of Plastic and Reconstructive Surgery, 49(1), 41-46. doi: 10.21608/ejprs.2025.405198
Ahmed Emad; Marwa Shehata Abdelhady. "Outcomes of Surgical Correction of Crooked Nose Deformity: An Objective Method of Assessment". The Egyptian Journal of Plastic and Reconstructive Surgery, 49, 1, 2025, 41-46. doi: 10.21608/ejprs.2025.405198
Emad, A., Abdelhady, M. (2025). 'Outcomes of Surgical Correction of Crooked Nose Deformity: An Objective Method of Assessment', The Egyptian Journal of Plastic and Reconstructive Surgery, 49(1), pp. 41-46. doi: 10.21608/ejprs.2025.405198
Emad, A., Abdelhady, M. Outcomes of Surgical Correction of Crooked Nose Deformity: An Objective Method of Assessment. The Egyptian Journal of Plastic and Reconstructive Surgery, 2025; 49(1): 41-46. doi: 10.21608/ejprs.2025.405198
Outcomes of Surgical Correction of Crooked Nose Deformity: An Objective Method of Assessment
1The Department of Plastic & Reconstructive Surgery; Faculty of Medicine, Beni Suef University
2Radio Diagnosis Department; Faculty of Medicine, Beni Suef University
Abstract
Background: Management of crooked nose deformity is considered one of the most challenging and difficult procedures in plastic surgery. For proper management of such condition, a thorough pre and intraoperative analysis of all nasal structures should be done. Objective: The aim of this study is to report the significant benefits from using the Auto CAD program in measurement of angles of nasal deviation before surgery and its role in assessment of the postoperative surgical results. Patients and Methods: The study was done on 28 patients with crooked nose deformity: Which were divided into two groups, I-type, which included 15 patients, and C-type, which included 13 patients. Deviation angles were measured by Auto CAD program on frontal views before and at least 3 months after the operation. Surgery was done through an open approach under general anesthesia. Results: Very good results were achieved for both type of crooked noses (p < 0.05). Better results were achieved with the I-type crooked nose deformity than those of the C-type deformity, but still with insignificant difference. Statistics showed that 66.7% and 53.8% of the patients with crooked noses, I type and C type respectively had good or excellent postoperative results. Conclusion: We believe that using of the AutoCAD program is a very helpful and accurate method for preoperative assessment of angles of deviation and postoperative assessment of the degree of correction. We think that it can be helpful also measurement of nasofrontal, nasolabial, and nasofacial angles. In addition, it can help in nasal length and alar base width.
Rohrich R.J., Gunter J.P., Deuber M.A., et al.: The deviated nose: Optimizing results using a simplified classification and algorithmic approach. Plast. Reconstr. Surg., 110: 1509-23, 2002. 2- Wael K.A. Hussein A., Shan R. Baker B, Ahmed S., Ismail A. and Samy Elwany: Crooked nose: The asymmetric face. Egyptian Journal of Ear, Nose, Throat and Allied Sciences., 16: 237–242, 2015. 3- Lisa Block, Miles J. Pfaff, Alexandria Harris, Jesse A. Goldstein and Joseph E. Losee: The Crooked Nose: A Practical Guide to Successful Management. Plast. Reconstr. Surg., 149: 779e, 2022. 4- Meysem Yorgun, Erdin ekiç and Ali Evlice: Mobile Bony Cap (Meysem Yorgun Technique): An Innovative Technique in Preservation Rhinoplasty for Crooked Nose Deformity. Plast. Reconstr. Surg. Glob Open., 11: e4919, 20 23. 5- Erdogan Okur, Ilhami Yildirim, Barlas Aydogan and M. Akif Kilic: Outcome of Surgery for Crooked Nose: An Objective Method of Evaluation. Aesth. Plast. Surg., 28: 203–207, 2004. 6- Larrabee W.F.: Special considerations in rhinoplasty. In: Bailey ed. Head and Neck Surgery-Otolaryngol. Philadelphia, Lippincott Comp., 2216-2175, 1993. 7- Tamer Erdem and Orhan Ozturan: Objective measurement of the deviated nose and a review of surgical techniques for correction. Rhinology, 46: 56-61, 2008. 8- Elizabeth Jasso-Ramirz, Alan Burgos-Paez, Fernando Sanchez, et al.: Twisted Nose: Preservation Rhinoplasty with Modified Push-Down/Let-Down Technique. Plast. Reconstr. Surg., 151: 749, 2023. 9- Rohrich R.J., Muzaffar A.R. and Janis J.E.: Component dorsal hump reduction: The importance of maintaining dorsal aesthetic lines in rhinoplasty. Plast. Reconstr. Surg., 114: 1298–1308; discussion 1309–1312, 2004. 10- Ellis D.A. and Gilbert R.W.: Analysis and correction of the crooked nose. J. Otolaryngol., 20: 14–18, 1991. 11- Ozturan O., Miman M.C., Yigit B., Cokkeser Y., Kizilay A. and Aktas D.: Approaches to twisted noses and results of treatment. Kulak Burun Bogaz Ihtis Derg., 91: 21–29, 2002. 12- Okur E., Yildirim I., Aydogan B., et al.: Outcome of surgery for crooked nose: An objective method of evaluation. Aesth. Plast. Surg., 28: 203–207, 2004.