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ITALIAN JOURNAL OF MAXILLOFACIAL SURGERY
A Journal on Maxillofacial Surgery
Official Journal of the Italian Society of Maxillofacial Surgery
Rivista Italiana di Chirurgia Maxillo-Facciale 2002 April;13(1):21-6
Surgery of the twisted nose. Classification and results
Bruno E., Russo S., Alessandrini M., Roselli F.
Otolaryngologic Clinic “Tor Vergata” University, Rome
Background. Twisted nose is generally the product of previous traumatic events which can alter physiologic factors influencing midface growth; it rarely results from anomalous healing of inflammatory processes. Different techniques have been suggested for surgical correction of twisted nose; each requires careful evaluation and correction of every component this pathology involves. After reviewing the literature, the authors describe their approach to surgical treatment for twisted nose.
Methods. Fifteen patients (age range: 11-40 years) presenting with post-traumatic or congenital twisted nose received functional surgical repair of the nose and nasal septum. The closed technique was performed in 14 cases and the open technique was used for repair of a scoliotic nose.
Results. Good functional results were achieved throughout, with good esthetic results in 13 patients. Complete correction of the nasal deformities was confirmed on control examination at 18 months after the operation.
Conclusions. Attention to the choice of technique and to meticulous preparation, along with a good understanding of the structural conditions underlying the deformities, can produce high success rates and good results, especially in the improvement of respiratory function.