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Rivista Italiana di Chirurgia Maxillo-Facciale 2002 April;13(1):21-6

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: English

Surgery of the twisted nose. Classification and results

Bruno E., Russo S., Alessandrini M., Roselli F.

Otolaryngologic Clinic “Tor Vergata” University, Rome


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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.

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