Correction of Deviated Nose: Importance of Rasping of Non-affected Side Nasal Bone Flap and Trimming of Non-affected Side Dorsal Septum.

Han, Ki Hwan; Lee, Min Jae; Kim, Jun Hyung; Kim, Hyun Ji; Son, Dae Gu

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2005;32(6):710-716.
Published online November 1, 2005.

Correction of Deviated Nose: Importance of Rasping of Non-affected Side Nasal Bone Flap and Trimming of Non-affected Side Dorsal Septum.

Ki Hwan Han, Min Jae Lee, Jun Hyung Kim, Hyun Ji Kim, Dae Gu Son

Deparment of Plasic and Reconstructive Surgery, Keimyung University School of Medicine, Daegu, Korea. khh@dsmc.or.kr

Abstract

A total of 21 patients were operated. Via a columellar labial incision, the upper lateral cartilages were separated from the septum. A submucous resection of the septal cartilage was carried out. After rasping the convex lateral nasal wall of the unaffected side, a low-to-low lateral nasal osteotomy was conducted. Along the deviated dorsal line at the bony vault passing the submucous tunnel, a paramedian nasal osteotomy was performed. The convex side of the nasal bone flap was contoured by rasping. The convex side of the "T"-shaped dorsal septum was trimmed. A total direct septal extension graft of the septal cartilage was done and the alar cartilages were suspended to it. The postoperative results were evaluated by photogrammetric analysis processed by a "neon glow" filter in Adobe Photoshop. The distance from the nasal midline to the most deflective point at 5 levels was measured, and the proportion indices were obtained in regard to intercanthal distance. The results revealed improvement in all levels (p < 0.05), although not perfect. In summary, this technique can result in a clinically good-looking in spite of a slight deflection that still exists.

Keywords: Deviated nose; Rasping of convex nasal bone flap; Trimming of convex dorsal septum