Resumen

Objectives: To identify a reliable, reproducible, clinically relevant classification that aids in the management of deviated nose rhinoplasty Introduction: Deviated or crooked nose correction represents one of the hardest challenged in all of plastic surgery. The surgery often involves functional correction as well as cosmetic. While the term deviated is used as an umbrella term, this can include several varietes, each of which required to be tackled uniquely. While several classifications for deviated nose exist, many are complicated and do not correlate with the surgical manouvers required for their correction Materials / method: Patient records were retrospectively for 1. Age, Sex 2. Technique used 3. Results 4. Patient satisfaction All procedures were done with open rhinoplasty. Results: Deviated noses where analysed in terms of deviations of shape (S) deviation of longitudinal axis(A), deviation of vertical tilt (T) also known as the SAT system. These were further prioritized in terms of the primary deformity and secondary deformities. Each of these components required unique surgical manoeuvres. These included spreader grafts, overlapping, caudal resection, bony excisions. Manoeuvres were classified as corrective and camouflage Conclusion: Rhinoplasty is a fascinating surgery where multiple roads can lead to the same destination. Deviated noses represent a unique challenge in their complexity and variety. With our component based system, we hope to ease this difficult challenge