Abstract

A deviated nose is usually defined as the deviation of the nasal axis from midline. Deviations from midline may be localized in the bony part, cartilage part or both parts. Rhinoplasty of a deviated nose is not a standard procedure, but is planned according to the underlying problem resulting in deviation. In preoperative evaluation, the nose is often divided as upper, middle, and lower vault. The surgical plan is made according to the existing problems of these vaults. In this article, we present an algorithm for a deviated nose which is common in the otorhinolaryngology practice. The words ‘crooked nose’, ‘deviated nose’, ‘twisted nose’, ‘deflected nose’, ‘asymmetric nose’ and ‘scoliotic nose’ were searched on PubMed and review articles were evaluated for this purpose. In conclusion, rhinoplasty for a deviated nose is one of the difficult rhinoplasty procedures. There is no standard procedure. Isolated approaches and combinations can be used for the correction of these deformities.