Management of the Lateral Walls in Crooked Nose

management of the lateral walls in crooked nose

in crooked noses, the lateral walls are different in shape and symmetry. although the septum is very important to obtain a straight nose, identical and symmetrical lateral walls are needed for a straight looking nasal dorsum. as well as the septum, lateral walls also contribute in nasal skeletal support and stability. thus, obtaining identical and symmetrical lateral walls is important. in orde...

The crooked nose

The crooked nose is unquestionably the most severe deformity of the nasal septum due to the simultaneous involvement of very important functional and aesthetic elements. As everyday interpersonal relations are primarily conducted face-to-face, deviation of the nasal pyramid from the median line is immediately obvious even to the least observant. The surgical procedures used to address this path...

Medial Laminectomy of the Large Concha Bullosa in Crooked Nose

New techniques for management of the crooked nose.

The crooked or twisted nose results from a complex deformity of the bony pyramid, the upper and lower cartilaginous vaults, and the septum and causes functional and aesthetic problems. The forces of scar contracture coupled with long-standing cartilage deformation may make the crooked nose resistant to conventional surgical intervention. The middle vault of the nose may exhibit deformities that...

The crooked nose: principles of treatment.

Correction of the crooked nose is one of the most challenging procedures in rhinoplasty. The goals of the surgery are creation of a rigid and straight cartilaginous L-strut, correction of the deviated bony structures, and improvement of the nasal airway. Curvatures of the dorsal septum can be corrected with several techniques. Spreader grafts, cartilage batten grafts, or ethmoid bone grafts can...