Crooked nasal deformity is usually secondary to trauma and is not repositioned in time during the acute phase, leaving a skewed nasal shape after the fracture heals. Crooked nasal deformity is often combined with a deviated nasal septum, causing nasal blockage and impaired ventilation. Patients often consult the ENT department for this reason. Due to the deviation of the nasal stent, for some patients with severe deviation, septoplasty alone cannot completely correct the deviation of the nasal septum, let alone the skewed shape. In this case, it is necessary to perform osteotomy to completely correct the shape of the nose and the deviation of the nasal septum in order to completely solve the shape and functional obstacles. Otorhinolaryngology has advantages in rhinoplasty: 1) more familiar with the structure of the nasal cavity; 2) easier and clearer intranasal operation due to the use of endoscope; 3) can correct the shape and septal deviation at the same time, solving both appearance and function problems; 4) because of the correction of septal deviation at the same time, part of the cost can be reimbursed by medical insurance. And pure plastic surgery completely self-pay.