Deviated Nose: Technical Proposition for Prevention of Recurrences

Abstract

After considering previously published studies and accordant with their observations during operations, the authors propose a surgical technique for the treatment of the deviated nose. Subpericondrial liberation of the upper lateral cartilages on the concave surface, with regard to the deviation, helps to prevent recurrences. After illustration of the surgical technique, some representative clinical cases are presented.

Key Maneuvers for Successful Correction of a Deviated Nose in Asians

“…Even when nasal structures are well aligned in the midline, a nose may appear crooked, either because of a residual concavity or convexity along one of the borders of the dorsal nasal subunit or because of constricted soft tissues after longlasting deviation. 17 These breaks or irregularities of the dorsal nasal contour lines may give the nose a crooked appearance. When encountered with these variant anatomies, proper camouflage grafts shaped from harvested septal or conchal cartilage are used for final complete correction of the deformity.…”

Gestörte Funktion der oberen AtemwegeWiederherstellende Verfahren bei gestörter Funktion der oberen Atemwege. Nasale Atmung

“…Dann sind auch die Weichteile (Haut und Muskulatur) der Nasenpyramide asymmetrisch. Der Memory effect kann durch ein ausgedehntes DØcollement [311] sowie ein Ablösen des Musculus nasalis seitlich an der Pyramide, des Musculus depressor nasi an der Columellabasis und des Musculus dilatator nasi am lateralen Flügelknorpelschenkel gemindert werden [81]. Manchmal sind auch partielle Resektionen am Seiten-und Flügelknorpel erforderlich [309, 312 ± 319].…”