A deviated nose refers to nasal asymmetry, encompassing isolated or combined deviations of the nasal bone, nasal septal cartilage, and lateral nasal bones. Its formation involves both congenital and acquired factors. Congenital causes primarily stem from nasal deformities during embryonic development, while acquired factors often result from trauma—sometimes without a clear history of injury.Minor cartilage injuries sustained during childhood can persistently disrupt normal cartilage cell growth, leading to noticeable deformities.
The aesthetic and functional issues caused by a deviated nose can be corrected through surgery.
Incisions for Nasal Deviation Correction
Two approaches exist for nasal deviation correction: the intranasal approach and the external approach, each with distinct advantages.
The external approach employs a U-shaped incision at the columella, extending to the anterior margins of both alar cartilages. Subcutaneous tissue is then dissected upward, providing excellent exposure of the surgical field.
The intranasal approach involves curved incisions along the upper margins of the alar cartilages within the bilateral nasal vestibules. These incisions traverse the anterior edge of the septal cartilage, connecting to form a single continuous incision. Following incision creation, subcutaneous tissue is extensively dissected upward to expose the piriform aperture and lateral nasal structures up to the nasal bone.
Management of the Nasal Bone in Deviated Nose Correction
> Depending on the degree of deviation, use a bone chisel or saw to cut through the maxillary frontal process and nasal bone from the edge of the piriform aperture upward. Grip the upper end of the nasal bone with bone forceps and twist to fracture it. The nasal bone can then be loosened and reshaped by manually manipulating the nasal area. Once the desired nasal contour is achieved, suture the incision.Post-operatively, symmetrical packing is placed in both nasal cavities to maintain the septum in the midline position. The external nose is then immobilized and compressed using molding putty or a small splint.
Reminder: Patients undergoing crooked nose correction require specific post-operative care. Avoid trauma to the nasal area and minimize outdoor physical activities.Editor's Note: By restoring the nose's normal appearance through crooked nose correction surgery, patients no longer need to worry about their "crooked nose" giving others an impression of "unhappiness."