Treatment of Crooked Nose —- Analysis of Deviated Nasal Septum and Crooked Nose Deformity The nose is located in the middle of the face, in a prominent position, and its influence on the morphology is extremely important. It is not difficult to imagine that a straight and straight nasal bridge form often gives people a sense of dignity and beauty, while a crooked or defective external nose form often gives people a comical and ridiculous, or even ugly feeling. Due to this prominent position of the external nose, it makes the external nose most directly reflect the three-dimensional morphological features of the entire facial profile. Therefore, from the perspective of morphology and human aesthetics, the shape of the external nose most directly reflects the three-dimensional sense of the face and contour features.
It is not uncommon to find people with crooked noses in the population, but in general, the crooked nose is not visually obvious, and if we look closely, we often find that a considerable number of people have a nose that is not completely centered and straight. However, if the skew exceeds a certain limit and is visually obvious, we call it “crooked nose deformity”.
In addition to affecting the image of the nasal bridge, it is sometimes accompanied by ventilation dysfunction, resulting in complications such as nasal congestion, headache, dizziness and other symptoms. This is because the human nasal cavity is composed of two basically symmetrical cavities, between which there is a longitudinal septum-like structure, medically called “nasal septum”, which divides the nasal cavity in two and becomes two unconnected cavities, through which airflow is absorbed into the lungs. Normally, the nasal septum is basically in the middle position. However, serious distortion of the septum due to various reasons often leads to obstruction of ventilation, hinders the drainage of nasal secretions, and even causes sinusitis, which aggravates the edema of the nasal mucosa and makes the obstruction of ventilation more obvious, thus leading to and aggravating the above clinical symptoms. Therefore, the active correction of crooked nose deformity also has important therapeutic significance.
There are two main causes of crooked nose, one is congenital factor and the other is acquired factor. The former, mainly refers to the development of the external nose, due to its own development, the patient’s nose presents a crooked deformity, or certain congenital diseases triggered by a crooked nose, such as jaw and facial bone dysplasia, nasal deformity of cleft lip and palate, etc.. This type of crooked nasal deformity is often accompanied by a skewed nasal septum. In most cases, this skew does not affect the ventilation function, which means there are no clinical symptoms, but if the nasal septum is severely skewed, there are clinical symptoms of different degrees, and sometimes accompanied by sinus inflammation.
Acquired factors, mainly due to various traumatic injuries, car accidents, boxing, bruises, etc., such patients often have a clear history of trauma, at the time of injury due to tissue swelling, or rescue life, etc., did not pay attention to the injury of the nasal bridge, to be stabilized and tissue swelling subsided, the nasal bridge distortion manifested significantly, even accompanied by ventilation dysfunction, such patients had to receive a correction of the crooked nose plastic surgery to correct the crooked nose. In this group of patients, the distortion of the nasal bridge is obvious and the deformity of the nasal septum varies according to the injury, as does the impact on the ventilation function.
The traditional ENT treatment for deviated septum is to remove the cartilage or bone tissue of the deviated septum that affects ventilation. This does solve the ventilation problem of patients with crooked nose to some extent, but it does not improve the shape of the crooked nasal bridge. With the increasing treatment requirements of patients, the simple traditional surgery to correct the crooked nasal septum can no longer meet the treatment requirements of the majority of patients, and more patients require not only to solve the ventilation problem, but also to solve the morphology of the crooked nasal bridge.
In recent years, more and more scholars advocate the correction of crooked nasal deformity along with the correction of deviated septum, because the simultaneous implementation of the two surgeries not only solves all the problems of the patients, but also makes the surgical results complementary. Currently, a transnasal approach is mostly used to correct the crooked nasal bridge under direct vision. The septoplasty is performed on the deviated septum to preserve the septum tissue to the maximum extent possible and to reshape the septum tissue to form a straight and centered septum, thus improving the ventilation of the nasal cavity, and to correct the deviated nasal bones, septum, and cartilage support structure of the nasal bridge to restore the bridge to a straight and centered position.
The surgical incision is very concealed and usually not visible. This procedure is a complete correction of the crooked nose, and the results are long-lasting and reliable. Generally, the sutures can be removed in only 5 days after surgery, and the shape will return to near normal in about 10 days.