The Crooked Nose: A Practical Guide to Successful Management | Journal CME Article-Journal CME Article: The Crooked Nose: A Practical Guide to Successful Management Article

Journal CME Article: The Crooked Nose: A Practical Guide to Successful Management Article

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The article discusses the complex surgical challenge of correcting a crooked nose, which can result from deforming forces acting on the structural components of the nose. These forces may be intrinsic or extrinsic to the septum, including attachments to and injuries of various nasal components, often resulting in septal malposition. Successful treatment requires an aggressive release of these forces via an open rhinoplasty approach, followed by reconstruction.<br /><br />The treatment strategy should focus on reconstructive septorhinoplasty rather than a routine aesthetic procedure. An essential part of the process is a thorough preoperative evaluation to identify specific anatomical problems, allowing for a problem-based surgical plan. This plan should involve a systematic approach to "deconstruct" and rebuild the nose, addressing aesthetic and functional issues.<br /><br />Surgical steps include comprehensive release of soft tissues, cartilage dissection and realignment, dorsal hump reduction, septoplasty, inferior turbinectomy, and osteotomies to mobilize nasal bones. Cartilage grafts, often sourced from rib or septal cartilage, are crucial for rebuilding a straight, stable nasal framework. Proper postoperative management, including monitoring and potential secondary procedures, is essential to maintain the correction over time. Customized approaches may be necessary for pediatric patients, with careful consideration of growth and development.<br /><br />Overall, addressing a crooked nose requires a detailed understanding of surgical anatomy, a focus on reconstructive techniques, and an individualized patient-specific treatment plan to ensure optimal functional and aesthetic outcomes. The article provides a practical guide to managing the crooked nose, emphasizing the importance of aggressive and comprehensive surgical strategies for successful correction.

Keywords

crooked nose

open rhinoplasty

septorhinoplasty

nasal reconstruction

cartilage grafts

surgical anatomy

septoplasty

osteotomies

functional outcomes

aesthetic correction