Jang Yong Ju, Wang Jong Hwan, Lee Bong-Jae
Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, 388-1 Pungnap-2dong, Songpa-gu, Seoul 138-736, South Korea.
Arch Otolaryngol Head Neck Surg. 2008 Mar;134(3):311-5. doi: 10.1001/archoto.2007.46.
To present a simplified classification of the deviated nose and the associated treatment outcome.
Retrospective analysis.
Tertiary care rhinology clinic.
Seventy-five individuals (49 males and 26 females) who underwent rhinoplasty for a deviated nose with minimum follow-up of 36 months.
Depending on the orientation of 2 horizontal subunits (the bony pyramid and the cartilaginous vault) with respect to the facial midline, the nasal deviations are classified into 5 types: I, a straight tilted bony pyramid with a straight tilted cartilaginous vault in the opposite direction; II, a straight tilted bony pyramid with a concavely or convexly bent cartilaginous vault; III, a straight bony pyramid with a tilted cartilaginous vault; IV, a straight bony pyramid with a bent cartilaginous vault, and V, a straight tilted bony pyramid and a tilted cartilaginous dorsum in the same direction.
Deformities of types I through V occurred in 24 (32%), 19 (25%), 19 (25%), 7 (9%), and 6 (8%) patients, respectively, in whom 1, 3, 2, 1, and 1 unsuccessful outcomes were found. Four of the 8 failed cases had been approached endonasally.
The proposed classification for the deviated nose could serve as a valuable adjunct in the treatment of these patients.
提出一种简化的鼻偏斜分类方法及相关治疗结果。
回顾性分析。
三级医疗鼻科学诊所。
75例（49例男性和26例女性）因鼻偏斜接受隆鼻手术，最短随访36个月。
根据2个水平亚单位（骨锥体和软骨穹窿）相对于面部中线的方向，将鼻偏斜分为5种类型：I型，骨锥体直线倾斜，软骨穹窿向相反方向直线倾斜；II型，骨锥体直线倾斜，软骨穹窿凹形或凸形弯曲；III型，骨锥体直线，软骨穹窿倾斜；IV型，骨锥体直线，软骨穹窿弯曲；V型，骨锥体和软骨背侧在同一方向直线倾斜。
I至V型畸形分别发生在24例（32%）、19例（25%）、19例（25%）、7例（9%）和6例（8%）患者中，其中发现1例、3例、2例、1例和1例治疗失败。8例失败病例中有4例采用鼻内入路。
所提出的鼻偏斜分类方法可作为治疗这些患者的有价值辅助手段。
