title: A Systematized Strategy in Corrective Rhinoplasty for the Asian Deviated Nose.
abstract: BACKGROUND
  A deviated nose is a common deformity encountered in rhinoplasty. Over the past several decades, a variety of rhinoplasty techniques have been described focusing on the classification of bony and cartilaginous deviation. Nevertheless, corrective rhinoplasty is still a challenging procedure even for experienced surgeons because of the high recurrence rate of deviation. In attempt to reduce the recurrence rate, the author systematized the complex procedures by using a single technique regardless of the classification of a deviation.
  
  
  METHODS
  Forty patients who underwent corrective rhinoplasty between June 2009 and December 2014 were reviewed retrospectively. All the patients were operated using 4 main surgical procedures: anterior approach septal correction, unilateral osteotomy, and medialization of the deviated complex to the contralateral intact side, and dorsal augmentation with a dermofat graft. Assessment of improvement was based on photo standardization. The degree of nasal deviation, nasofrontal angle, tip projection-to-nasal length ratio, vertical line of the upper lip-to-tip projection ratio, and columellar-labial angle were measured.
  
  
  RESULTS
  Preoperative and postoperative anthropometric measurements revealed that the mean degree of deviation changed from 10.19° to 3.43° (P < 0.01), and the degree of nasofrontal angle changed from 131.55° to 133.14° (P < 0.01). All patients responded to both the preoperative and postoperative questionnaires. The questionnaires revealed a significant functional and cosmetic improvement from 36.84° to 76.95° and 39.45° to 79.41°, respectively (P < 0.0001).
  
  
  CONCLUSIONS
  This systematized strategy to correct the Asian deviated nose provided reproducible and consistent results It also resulted in low recurrence rates and high postoperative satisfaction among patients.
authors.affiliation: Departments of Plastic and Reconstructive Surgery, Yeungnam University, Daegu, Republic of Korea.
authors.forename: Yong-Ha
authors.initials: YH
authors.lastname: Kim
authors.forename: Chang Young
authors.initials: CY
authors.lastname: Jung
authors.forename: Kyu Jin
authors.initials: KJ
authors.lastname: Chung
authors.forename: Jun Ho
authors.initials: JH
authors.lastname: Lee
authors.forename: Tae Gon
authors.initials: TG
authors.lastname: Kim
mesh_terms: D000293:Adolescent; D000328:Adult; D044466:Asian People / Q000235:genetics; D002356:Cartilage / Q000637:transplantation*; D015331:Cohort Studies; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009300:Nasal Septum / Q000002:abnormalities / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000175:diagnosis / Q000208:ethnology / Q000601:surgery*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D056910:Republic of Korea; D012189:Retrospective Studies; D012225:Rhinoplasty / Q000379:methods*; D018570:Risk Assessment; D016896:Treatment Outcome; D055815:Young Adult