The role of ethmoid sinus surgery in the treatment of the twisted nose.

The correction of the twisted nose remains a challenge from both the functional and aesthetic points of view. It is well recognized that complete correction of this nasal deformity often necessitates not only reconfiguration of the external nasal framework, but also realignment of the septum. The occasional patient will, in addition, require concurrent middle turbinate resection and/or ethmoidectomy to enable one to achieve full correction of both his/her external and septal deformities. We will briefly outline the rationale for this approach w ith an illustrative case example.