Classification of the deviated nose and its treatment.
OBJECTIVE
To present a simplified classification of the deviated nose and the associated treatment outcome.


METHODS
Retrospective analysis.


METHODS
Tertiary care rhinology clinic.


METHODS
Seventy-five individuals (49 males and 26 females) who underwent rhinoplasty for a deviated nose with minimum follow-up of 36 months.


METHODS
Depending on the orientation of 2 horizontal subunits (the bony pyramid and the cartilaginous vault) with respect to the facial midline, the nasal deviations are classified into 5 types: I, a straight tilted bony pyramid with a straight tilted cartilaginous vault in the opposite direction; II, a straight tilted bony pyramid with a concavely or convexly bent cartilaginous vault; III, a straight bony pyramid with a tilted cartilaginous vault; IV, a straight bony pyramid with a bent cartilaginous vault, and V, a straight tilted bony pyramid and a tilted cartilaginous dorsum in the same direction.


RESULTS
Deformities of types I through V occurred in 24 (32%), 19 (25%), 19 (25%), 7 (9%), and 6 (8%) patients, respectively, in whom 1, 3, 2, 1, and 1 unsuccessful outcomes were found. Four of the 8 failed cases had been approached endonasally.


CONCLUSIONS
The proposed classification for the deviated nose could serve as a valuable adjunct in the treatment of these patients.
Jang
Yong Ju
YJ
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-2dong, Songpa-gu, Seoul 138-736, South Korea. jangyj@amc.seoul.kr
Wang
Jong Hwan
JH
Lee
Bong-Jae
BJ
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000473:pathology* / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000145:classification* / Q000601:surgery*; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods; D016896:Treatment Outcome