Crooked nose: The asymmetric face

Importance & objective Rhinoplasty for reconstruction of crooked nose continues to update over time to achieve the best results. It is not uncommon for surgeons to perform rhinoplasty in patients with facial asymmetry. The aim of the present study was to introduce a new method of assessment of crooked nose deformities and to evaluate the surgical outcomes of the corrective procedures through the assessment of deviation angles and the utilization of the quality of life (QoL) questionnaire by comparing patient satisfaction in both symmetric and asymmetric faces. Methods Patients were divided into 2 groups; the first group had rhinoplasty to correct crooked nose in patients without facial asymmetry, and patients in group 2 had rhinoplasty for crooked nose in patients with facial asymmetry. Preoperative and post operative analyses of the angles of deviation of the nose were performed. Visual Numerical Scale scores were performed using statistical analysis to assess changes of the quality of life as patient satisfaction for all patients. Results Survey responses were received from 50 patients. Group one included 30 patients and group two included 20 patients. Each group was further subdivided according to the type of deformity into C-shaped nasal deviations and I-shaped linear deviations. Data from all groups were obtained and statistically analyzed. Conclusions All patients in this study who had rhinoplasty for crooked nose either with or without facial asymmetry reported improvement in their disease-specific quality of life and a significant improvement of the nasal axis deviation.