Search

Résumé La correction du nez tordu ou dévié peut être très complexe et nécessite l’utilisation d’une large gamme de techniques chirurgicales. La demande des patients est souvent mixte, esthétique et fonctionnelle, en particulier dans les cas post-traumatiques. La qualité de la respiration postopératoire est donc aussi importante que la correction de la déviation nasale : la septoplastie extracorporelle ou encore les spreader grafts sont tout particulièrement efficaces, non seulement dans la correction de la déformation de la pyramide nasale, mais aussi dans la résolution des problèmes respiratoires fonctionnels. La reconstruction et le bon support de la cloison sont des composantes nécessaires à un nez droit. La déformation esthétique peut être difficile à corriger en raison de la mémoire de l’os et du cartilage. Bien que les déformations mineures puissent être corrigées avec des techniques simples, un geste plus agressif est souvent nécessaire dans les cas plus complexes. Malgré les tentatives de correction de la déformation grâce aux différentes techniques décrites ici, il peut persister une déviation postopératoire. La discussion préopératoire est très importante et permet d’expliquer au patient qu’il est très difficile d’obtenir un nez parfaitement droit. Summary Correction of a twisted or crooked nose can be very complex and require the use of a broad range of surgical techniques. Patient needs are often mixed – aesthetic and functional – particularly in post-trauma cases. The quality of postoperative breathing is therefore as important as correction of the nasal deviation. Extracorporeal septoplasty or spreader grafts are very effective not only in correction of the nasal pyramid deformation, but also in resolution of functional respiratory issues. Reconstruction and proper support of the septum are necessary components for a straight nose. Aesthetic deformation can be difficult to correct owing to the memory of the bone and cartilage. Although minor deformations can be corrected with simple techniques, a more aggressive procedure is often necessary in the most complex cases. Despite attempts to correct deformation thanks to the various techniques described here, a postoperative deviation can persist. Preoperative discussion is very important and enables the surgeon to explain to the patient that it is very difficult to obtain a perfectly straight nose. [ABSTRACT FROM AUTHOR]

Correction of a twisted or crooked nose can be very complex and require the use of a broad range of surgical techniques. Patient needs are often mixed--aesthetic and functional--particularly in post-trauma cases. The quality of postoperative breathing is therefore as important as correction of the nasal deviation. Extracorporeal septoplasty or spreader grafts are very effective not only in correction of the nasal pyramid deformation, but also in resolution of functional respiratory issues. Reconstruction and proper support of the septum are necessary components for a straight nose. Aesthetic deformation can be difficult to correct owing to the memory of the bone and cartilage. Although minor deformations can be corrected with simple techniques, a more aggressive procedure is often necessary in the most complex cases. Despite attempts to correct deformation thanks to the various techniques described here, a postoperative deviation can persist. Preoperative discussion is very important and enables the surgeon to explain to the patient that it is very difficult to obtain a perfectly straight nose., (Copyright © 2014 Elsevier Masson SAS. All rights reserved.)