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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

Treatment success after rhinosurgery: an evaluation of subjective and objective parameters.
Martin MM, Hauck K, von Witzleben A, Lindemann J, Scheithauer MO, Hoffmann TK, Sommer F
Eur Arch Otorhinolaryngol 2022 Jan;279(1):205-211. Epub 2021 Apr 3 doi: 10.1007/s00405-021-06787-5. PMID: 33813628Free 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

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
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

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

Accessory columellas: A case series on surgical method and short-term postoperative course.
Oshima J, Sasaki K, Aihara Y, Myojo R, Sasaki M, Shibuya Y, Sekido M
J Plast Reconstr Aesthet Surg 2022 Dec;75(12):4478-4483. Epub 2022 Aug 24 doi: 10.1016/j.bjps.2022.08.051. PMID: 36229313
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

Key stone plasty and asymmetric hump resection in crooked nose deformity.
Balikci H, Yenigun A, Celik I, Aksoy F, Dogan R, Ozturan O
Am J Otolaryngol 2022 Sep-Oct;43(5):103492. Epub 2022 May 12 doi: 10.1016/j.amjoto.2022.103492. PMID: 35644690
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
A Useful Approach to I-Shaped Crooked Nose Correction: Cross-Spreader Graft Technique.
Kavuzlu A, Şahin E
Aesthetic Plast Surg 2022 Apr;46(2):833-840. Epub 2021 Sep 23 doi: 10.1007/s00266-021-02571-2. PMID: 34557929
Treatment success after rhinosurgery: an evaluation of subjective and objective parameters.
Martin MM, Hauck K, von Witzleben A, Lindemann J, Scheithauer MO, Hoffmann TK, Sommer F
Eur Arch Otorhinolaryngol 2022 Jan;279(1):205-211. Epub 2021 Apr 3 doi: 10.1007/s00405-021-06787-5. PMID: 33813628Free PMC Article
Risk factors for intraoperative saddle nose deformity in septoplasty patients.
Lee JJ, Hong SD, Dhong HJ, Chung SK, Kim HY
Eur Arch Otorhinolaryngol 2019 Jul;276(7):1981-1986. Epub 2019 Apr 2 doi: 10.1007/s00405-019-05411-x. PMID: 30937560

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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