Surgical treatment of the crooked nose.

One-stage septorhinoplasty has become a surgical standard of care because many surgeons in the mid-twentieth century recognized that septal surgery played an essential role in the management of the crooked nose and therefore combined septoplasty and rhinoplasty into a single operation. Definitive predictable correction of the crooked nose is one of the most exigent aspects of this operation. The surgeon should methodically analyze the anatomy and aesthetics of a patient's nose, as a unique structure and as part of the overall face, and must have an understanding of the interrelationships of the structural components of the nose and of the dynamics of change that result from altering these various structures. This article discusses the general principles and the surgical details of septorhinoplasty.