Asymmetric Facial Growth and Deviated Nose: A New Concept

Deviated nose correction is difficult and constitutes a very different issue from septal deviation. When correcting this deformity, traces of asymmetry can be detected. The authors demonstrate facial asymmetry accompanying deviated noses, and such asymmetry is usually ignored by surgeons who typical...

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Veröffentlicht in:Annals of plastic surgery 2010, Vol.64 (1), p.47-51
Hauptverfasser: HAFEZI, Farhad, NAGHIBZADEH, Bijan, NOUHI, Amirhossein, YAVARI, Parvin
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container_end_page 51
container_issue 1
container_start_page 47
container_title Annals of plastic surgery
container_volume 64
creator HAFEZI, Farhad
NAGHIBZADEH, Bijan
NOUHI, Amirhossein
YAVARI, Parvin
description Deviated nose correction is difficult and constitutes a very different issue from septal deviation. When correcting this deformity, traces of asymmetry can be detected. The authors demonstrate facial asymmetry accompanying deviated noses, and such asymmetry is usually ignored by surgeons who typically concentrate only on nose deformities.A total of 5822 pre- and postrhinoplasty photographs related to 547 women and 124 men were reviewed. Out of the total population, the following 3 groups were selected: group A, gross nose and face asymmetry; group B, nose asymmetry with no facial deformity; group C, facial asymmetry with straight nose. Different measurements were applied to the selected photos, presented in . These included measurement from the lateral canthi to the lateral mouth corners (D1) and from the midface to each most lateral part of the zygomatic arch (D2). Measurements from one side were compared with those from the contralateral side to identify true anatomic differences, as presented in .(Table is included in full-text article.)(Figure is included in full-text article.)There was a significant difference in the nose and face deformity group, as evidenced by a meaningful difference in both the D1 and D2 measurements.We report a significant growth retardation of the midface and orbit on the concave side of the nose. This impediment may serve as the etiology for many asymmetries of the face and nose.
doi_str_mv 10.1097/SAP.0b013e31819ae02d
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subjects Biological and medical sciences
Facial Asymmetry
Female
Genetic Testing
Humans
Intellectual Disability - epidemiology
Intellectual Disability - genetics
Male
Medical sciences
Nasal Septum - abnormalities
Nasal Septum - surgery
Rhinoplasty
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surveys and Questionnaires
title Asymmetric Facial Growth and Deviated Nose: A New Concept
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