[Approaches to twisted noses and results of treatment].
OBJECTIVE
The aim of this study was to address the multiplicity of surgical techniques and pitfalls in the treatment of twisted noses.


METHODS
Fifty-nine patients (43 males, 16 females; mean age 27 years; range 17 to 47 years) with vertical axis deviation of the nose were surgically treated. Thirty patients had C-type and 29 patients had I-type twisted noses. Deviation angles were measured before nd at least six months after the operation. Correction of deviations was graded according to the ideal angular values and the two groups were compared.


RESULTS
Significant correction was achieved in both types of twisted noses (p < 0.01). The results of the I-twisted noses were significantly closer to the ideal angles compared to those of the C-twisted noses (p < 0.05). Three patients underwent revision surgery.


CONCLUSIONS
To correct functional and aesthetic problems in twisted noses, an external approach can be employed to straighten the nose by releasing, mobilizing, aligning and reinforcing the nasal anatomic structures. Cartilage grafts may be used to camouflage persistent deformities. C-twisted noses require more experience in, and familiarization with, a large number of surgical techniques.
Ozturan
Orhan
O
Department of Otolaryngology, Medicine Faculty of Inönü University, Malatya, Turkey. orhanent@yahoo.com
Miman
Murat Cem
MC
Yiğit
Bahri
B
Cokkeser
Yaşar
Y
Kizilay
Ahmet
A
Aktaş
Davut
D
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009295:Nasal Bone / Q000002:abnormalities / Q000601:surgery; D009300:Nasal Septum / Q000002:abnormalities / Q000601:surgery; D009666:Nose / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*; D012225:Rhinoplasty / Q000379:methods*; D012720:Severity of Illness Index; D016896:Treatment Outcome