Repairing the twisted nose

Correction of the deviated nose is a challenging task. To be successful, attention must be given to careful diagnosis and restructuring of the underlying deformity. Figure 7A through F shows pre- and postoperative views of a patient after internal and external nasal reconstruction after an open approach, asymmetric osteotomies, and placement of a unilateral cartilaginous spreader graft. The important aspects of repairing the twisted, nose include good exposure for accurate diagnosis, meticulous straightening of the nasal septum, and judicious use of functional cartilage grafts. If these principles are used, a high success rate of straightening the nose can be achieved.