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Nose Deformity

MedGen UID:
66810
•Concept ID:
C0240547
•
Finding

Definition

Any structural change to the nose that results in a defect, which may be cosmetic, functional, or both. The deformity may be congenital, as in the cases of cleft palate, a mass, or defective cartilage, or acquired, as in a fracture, a hematoma, mass, or scarring from a previous surgery. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVNose Deformity

Professional guidelines

PubMed

Complications and management of septoplasty.
Ketcham AS, Han JK
Otolaryngol Clin North Am 2010 Aug;43(4):897-904. doi: 10.1016/j.otc.2010.04.013. PMID: 20599092
Classification and treatment of the saddle nose deformity.
Pribitkin EA, Ezzat WH
Otolaryngol Clin North Am 2009 Jun;42(3):437-61. doi: 10.1016/j.otc.2009.03.004. PMID: 19486741
Wegener's granulomatosis: current trends in diagnosis and management.
Erickson VR, Hwang PH
Curr Opin Otolaryngol Head Neck Surg 2007 Jun;15(3):170-6. doi: 10.1097/MOO.0b013e3281568b96. PMID: 17483685

Recent clinical studies

Etiology

Short-term nasal symmetry repaired by force-balanced muscular reconstruction technique.
Liu YM, Chen Y, Zhang BH, Shi B, Li CH
Hua Xi Kou Qiang Yi Xue Za Zhi 2021 Oct 1;39(5):560-565. doi: 10.7518/hxkq.2021.05.010. PMID: 34636204Free PMC Article
Reconstructive Techniques for the Saddle Nose Deformity in Granulomatosis With Polyangiitis: A Systematic Review.
Ezzat WH, Compton RA, Basa KC, Levi J
JAMA Otolaryngol Head Neck Surg 2017 May 1;143(5):507-512. doi: 10.1001/jamaoto.2016.3484. PMID: 27978568
Spreader Grafts in Functional Rhinoplasty.
Kim L, Papel ID
Facial Plast Surg 2016 Feb;32(1):29-35. Epub 2016 Feb 10 doi: 10.1055/s-0035-1570127. PMID: 26862961
Midline Cleft Lip and Bifid Nose Deformity: Description, Classification, and Treatment.
Kolker AR, Sailon AM, Meara JG, Holmes AD
J Craniofac Surg 2015 Nov;26(8):2304-8. doi: 10.1097/SCS.0000000000002229. PMID: 26594965
Saddle nose deformity: A new classification and treatment.
Daniel RK, Brenner KA
Facial Plast Surg Clin North Am 2006 Nov;14(4):301-12, vi. doi: 10.1016/j.fsc.2006.06.008. PMID: 17088179

Diagnosis

Infected Septal Hematoma.
Bartholomew RA, Mohan S, Keamy DG Jr
J Pediatr 2022 Feb;241:260-261. Epub 2021 Sep 22 doi: 10.1016/j.jpeds.2021.09.027. PMID: 34560094
Pyoderma gangrenosum on the nose.
Tomioka T, Soma K, Sato Y, Miura K, Endo A
Auris Nasus Larynx 2018 Oct;45(5):1130-1134. Epub 2018 May 10 doi: 10.1016/j.anl.2018.04.004. PMID: 29753583
Saddle nose deformity and septal perforation in granulomatosis with polyangiitis.
Coordes A, Loose SM, Hofmann VM, Hamilton GS 3rd, Riedel F, Menger DJ, Albers AE
Clin Otolaryngol 2018 Feb;43(1):291-299. Epub 2017 Sep 21 doi: 10.1111/coa.12977. PMID: 28881107
Vasculitis of the upper airways.
Pagnoux C, Wolter NE
Swiss Med Wkly 2012;142:w13541. Epub 2012 Mar 19 doi: 10.4414/smw.2012.13541. PMID: 22430874
Swimmer's nose deformity.
Bodor RM, Breithaupt AD, Buncke GM, Bailey JR, Buncke HJ
Ann Plast Surg 2008 Jun;60(6):658-60. doi: 10.1097/SAP.0b013e31814faf55. PMID: 18520203

Therapy

Pyoderma gangrenosum on the nose.
Tomioka T, Soma K, Sato Y, Miura K, Endo A
Auris Nasus Larynx 2018 Oct;45(5):1130-1134. Epub 2018 May 10 doi: 10.1016/j.anl.2018.04.004. PMID: 29753583
Spreader Grafts in Functional Rhinoplasty.
Kim L, Papel ID
Facial Plast Surg 2016 Feb;32(1):29-35. Epub 2016 Feb 10 doi: 10.1055/s-0035-1570127. PMID: 26862961
Vasculitis of the upper airways.
Pagnoux C, Wolter NE
Swiss Med Wkly 2012;142:w13541. Epub 2012 Mar 19 doi: 10.4414/smw.2012.13541. PMID: 22430874
Classification and treatment of the saddle nose deformity.
Pribitkin EA, Ezzat WH
Otolaryngol Clin North Am 2009 Jun;42(3):437-61. doi: 10.1016/j.otc.2009.03.004. PMID: 19486741
Relapsing polychondritis.
Rapini RP, Warner NB
Clin Dermatol 2006 Nov-Dec;24(6):482-5. doi: 10.1016/j.clindermatol.2006.07.018. PMID: 17113965

Prognosis

Osteoplasty in Crooked Nose Deformity: A Novel Approach.
Koçak I, Senturk E
Aesthetic Plast Surg 2017 Jun;41(3):628-636. Epub 2017 Mar 24 doi: 10.1007/s00266-017-0848-5. PMID: 28341955
Management of post-traumatic combined deviated and saddle nose deformity.
Won TB, Kang JG, Jin HR
Acta Otolaryngol 2012 Jun;132 Suppl 1:S44-51. doi: 10.3109/00016489.2012.659757. PMID: 22582782
Vasculitis of the upper airways.
Pagnoux C, Wolter NE
Swiss Med Wkly 2012;142:w13541. Epub 2012 Mar 19 doi: 10.4414/smw.2012.13541. PMID: 22430874
Head and neck manifestations of Wegener's granulomatosis.
Gottschlich S, Ambrosch P, Kramkowski D, Laudien M, Buchelt T, Gross WL, Hellmich B
Rhinology 2006 Dec;44(4):227-33. PMID: 17216737
Relapsing polychondritis.
Rapini RP, Warner NB
Clin Dermatol 2006 Nov-Dec;24(6):482-5. doi: 10.1016/j.clindermatol.2006.07.018. PMID: 17113965

Clinical prediction guides

Is There a Risk of Saddle Nose Deformity after Spreader Grafts and Flaps?
Eweiss A
Facial Plast Surg 2023 Feb;39(1):77-85. Epub 2022 Feb 3 doi: 10.1055/a-1760-1709. PMID: 35114724
A new approach for crooked nose: Separated spreader graft "puzzle graft".
Uzun S, Keskin S, Kavvasoğlu C
Am J Otolaryngol 2022 Mar-Apr;43(2):103335. Epub 2022 Jan 4 doi: 10.1016/j.amjoto.2021.103335. PMID: 35007978
Defining Clinical Subgroups in Relapsing Polychondritis: A Prospective Observational Cohort Study.
Ferrada M, Rimland CA, Quinn K, Sikora K, Kim J, Allen C, Sirajuddin A, Goodspeed W, Chen M, Grayson PC
Arthritis Rheumatol 2020 Aug;72(8):1396-1402. Epub 2020 Jul 8 doi: 10.1002/art.41270. PMID: 32249511Free PMC Article
Osteoplasty in Crooked Nose Deformity: A Novel Approach.
Koçak I, Senturk E
Aesthetic Plast Surg 2017 Jun;41(3):628-636. Epub 2017 Mar 24 doi: 10.1007/s00266-017-0848-5. PMID: 28341955
Head and neck manifestations of Wegener's granulomatosis.
Gottschlich S, Ambrosch P, Kramkowski D, Laudien M, Buchelt T, Gross WL, Hellmich B
Rhinology 2006 Dec;44(4):227-33. PMID: 17216737

Recent systematic reviews

Rhinoplasty for Sinonasal Deformities in Granulomatosis with Polyangiitis: A Systematic Review and Meta-Analysis.
Alanazi F, Alenezi M, Alanazy S, Yahya B
J Craniofac Surg 2023 Nov-Dec 01;34(8):2347-2351. Epub 2023 Sep 4 doi: 10.1097/SCS.0000000000009721. PMID: 37665071
Saddle nose deformity and septal perforation in granulomatosis with polyangiitis.
Coordes A, Loose SM, Hofmann VM, Hamilton GS 3rd, Riedel F, Menger DJ, Albers AE
Clin Otolaryngol 2018 Feb;43(1):291-299. Epub 2017 Sep 21 doi: 10.1111/coa.12977. PMID: 28881107
Reconstructive Techniques for the Saddle Nose Deformity in Granulomatosis With Polyangiitis: A Systematic Review.
Ezzat WH, Compton RA, Basa KC, Levi J
JAMA Otolaryngol Head Neck Surg 2017 May 1;143(5):507-512. doi: 10.1001/jamaoto.2016.3484. PMID: 27978568

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