title: Asymmetrically pressing nasal splint for crooked nose deformity.
abstract: OBJECTIVE
  Correcting crooked nose deformity is one of the most difficult procedure in rhinoplastic surgery. For that reason, the authors have been designed an asymmetrically pressing nasal splint. In this prospective study, the aim was to compare the effects of applying asymmetrically pressing nasal splint and normal symmetrically splint on the crooked nose.
  
  
  METHODS
  This study included 129 patients who were operated on for crooked nose deformity. Patients were divided into 2 groups. Normal symmetrically pressing nasal splint was applied to groups 1a (I type) and 1b (C type). Asymmetrically pressing nasal splint was applied to groups 2a (I type) and 2b (C type). All groups were compared according to deflection angle from the midline, the percentage of postoperative improvement, patient satisfaction with visual analog scale, and complication rate.
  
  
  RESULTS
  I-type noses in both groups at postoperative angle values were reduced, and C-type noses in both groups at postoperative angle values were increased significantly compared with preoperative values. I-type noses of group 2 at postoperative angle values compared with group 1 were reduced, and C-type noses were increased in group 2 significantly. Patient satisfaction rate in group 2 were significantly better than in group 1. The closeness ratios to the ideal angles in group 1 were in "good" and "moderate" levels, whereas in group 2, it was in "excellent" level. There was no significant difference in complication rate in both groups.
  
  
  CONCLUSIONS
  Asymmetrically pressing splint (novel design) showed increasing success rate clearly in crooked nose surgery than in normal splints.
authors.affiliation: From the *Department of Otorhinolaryngology, Bezmialem Vakif University, Fatih, Istanbul; †Department of Otorhinolaryngology, Bayrampasa State Hospital, Bayrampasa, Istanbul; and ‡Department of Otorhinolaryngology, Kozluk State Hospital, Batman, Turkey.
authors.forename: Selahattin
authors.initials: S
authors.lastname: Tugrul
authors.forename: Remzi
authors.initials: R
authors.lastname: Dogan
authors.forename: Ilker
authors.initials: I
authors.lastname: Kocak
authors.forename: Orhan
authors.initials: O
authors.lastname: Ozturan
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000601:surgery; D009666:Nose / Q000002:abnormalities* / Q000601:surgery*; D010147:Pain Measurement; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011446:Prospective Studies; D012225:Rhinoplasty / Q000379:methods*; D013165:Splints; D055815:Young Adult