Deviated nose correction: different outcomes according to the deviation type.

OBJECTIVES/HYPOTHESIS The present study analyzed 631 deviated nose cases to determine the overall success rate of correction, the treatment outcomes according to the different types of deviation, and the revision rate. STUDY DESIGN Case series study. METHODS We reviewed 631 patients who underwent rhinoplasty for correction of a deviated nose with a minimum follow-up of 18 months. Surgical outcomes were classified as excellent, good, fair, or no change. Deviations were classified into five types: type I, a straight tilted bony pyramid with straight tilted cartilaginous vault in the opposite direction; type II, a straight tilted bony pyramid with concavely or convexly bent cartilaginous vault; type III, a straight bony pyramid with tilted cartilaginous vault; type IV, a straight bony pyramid with bent cartilaginous vault, and type V, a straight tilted bony pyramid and tilted cartilaginous dorsum in the same direction. RESULTS Postoperative assessment showed that 80.2% of the 631 patients had successful (excellent or good) outcomes, and 19.8% had unsuccessful (fair or no change) outcomes. Deformities of types I through V occurred in 169 (26.8%), 139 (22.0%), 150 (23.8%), 101 (16.0%), and 72 (11.4%) patients, respectively, of whom 34 (20.1%), 39 (28.1%), 11 (7.3%), 11 (10.9%), and 30 (41.7%) had unsuccessful outcomes. Analysis showed that the frequency of unsuccessful outcomes differed according to the deviation type (P < .001). Forty-one patients (6.5%) required revision rhinoplasty owing to dissatisfaction. CONCLUSIONS An unsatisfactory surgical outcome is a significant risk following surgical correction of a deviated nose. The type of deviation affects the likelihood of a successful outcome. LEVEL OF EVIDENCE 4.