Two Cases of Unilateral Osteotomies for Traumatic Severely Deviated Noses

Abstract

A severely deviated nose accompanied with trauma is difficult to correct, but osteotomy, a common surgical technique, can correct such deviation. This study aims to evaluate the usefulness of unilateral osteotomy, a technique for correcting a severely deviated nose driven by trauma. Two patients, both with deviated nose caused by trauma but one with a C-shaped nose and another with a reverse C-shaped nose, underwent surgery. Cartilage and bone humps were removed by a knife and a rubin osteotome, respectively. Unilateral osteotomy was performed on the convex area to correct the crooked nose and camouflage dorsal graft was used to treat the lowered dorsum. No postoperative complications were reported during the follow-up periods. Both patients were satisfied with the outcomes. This paper presents successful cases of unilateral osteotomy and suggests this treatment as an effective way of correcting deviated nose caused by trauma.