CORRECTION OF THE TWISTED NOSE DEFORMITY - A SURGICAL ALGORITHM USINGTHE EXTERNAL RHINOPLASTY APPROACH

Successful correction of the twisted nose is challenging due to the co mplex nature of the underlying anatomic deformity. Although the litera ture has in general supported endonasal rhinoplasty techniques for the twisted nose, we propose a surgical algorithm using the external rhin oplasty approach. The algorithm offers a stepwise, structured method t hat is adaptable to individual variations in anatomic deformity. The a dvantages and relative disadvantages of the external rhinoplasty appro ach are discussed, and a clinical experience of 30 patients is reviewe d. Application of the external rhinoplasty algorithm in correction of the twisted nose can yield consistently satisfactory functional and ae sthetic results.