Abstract
Introduction Crooked nose deformity is a vertical axis deviation
of the nasal pyramid; despite all advancements, it remains a significant
problem to resolve. In this study, we present our I- and C-shaped
crooked nose rhinoplasty results with this new osteotomy technique.
Method This study included 25 patients with I- or C-shaped
crooked nose deformities who underwent correction with a closed-approach
let-down procedure. In this technique, the middle vault is preserved,
the bony cap is mobilized and preserved, and the lateral nasal bones are
equalized by a piezo device or classical osteotomes. By the mobilization
of the bony cap, tension on the dorsal septum is released, and slight
asymmetries are hidden behind this mobile bony cap.
Results The postoperative angles for both type I and C
deformities were closer to the ideal angle, and the difference was
statistically significant. All patients were satisfied with their
aesthetic and functional results.
Conclusion In this procedure, we correct asymmetries at the lower
maxillary nasal junction, such as in the Let-down approach, as well as
asymmetries at the K-point, such as in the structural approach. Thus, we
combine the advantages of both techniques. Additionally, the mobile-bony
cap left on the patient is very useful for releasing the tension of the
septal dorsum and hiding slight asymmetries that remain below in the
patients.