Volume 11, Issue 2 (7-2022)                   WJPS 2022, 11(2): 18-23 | Back to browse issues page


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Hashemi S M, Afshari E, Ghazavi H. Prevalence of Facial Asymmetry and Correction Methods for Rhinoplasty in Individuals with Deviated Nose: A Brief Review. WJPS. 2022; 11 (2) :18-23
URL: http://wjps.ir/article-1-943-en.html
Otolaryngology Department, Faculty of Medicine, Isfahan University of Medical Sciences
Abstract:   (205 Views)
Background: Surgeons frequently perform rhinoplasty on individuals who have facial asymmetry. Patients' discontent following rhinoplasty has been linked to facial asymmetry. On the other hand, correction of a deviated nose is a tough procedure, and it is not the same as septal deviation correction. Surgeons, who often perform rhinoplasty for deviated nose in people with asymmetrical faces, focus primarily on correcting nasal defects and overlook such facial asymmetry.
Aim: We aimed to summarize and review the prevalence of facial asymmetry in patients subjected for rhinoplasty for deviated nose correction.
Methods: A systematic search was conducted covering PubMed, Scopus, ISI, and Google Scholar using related key words and MeSH (Medical Subject Headings) terms from 2000 until November 2021 for English published articles.
Results: The majority of subjects had more facial asymmetry such as chin deviation, nasal deviation, and face breadth. Facial asymmetry is typically found in patients undergoing rhinoplasty for a deviated nose, and its presence frequently results in the failure to achieve a straight-looking nose.
Conclusion: Patients considering rhinoplasty frequently have facial asymmetries, and careful attention should be devoted to these elements in both surgical planning and patient counseling. In order to create facial harmony and apparent symmetry after rhinoplasty, it is critical to center the nose on the midglabellar to mid–bow Cupid's line.
 
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Type of Study: Original Article | Subject: Special
Received: 2022/07/16 | Accepted: 2022/07/19 | Published: 2022/07/30

References
1. Rohrich RJ, Ahmad J. Rhinoplasty. Plast Reconstr Surg 2011 Aug;128(2):49e-73e. [DOI:10.1097/PRS.0b013e31821e7191] [PMID]
2. Hafezi F, Naghibzadeh B, Nouhi A, Yavari P. Asymmetric facial growth and deviated nose: a new concept. Ann Plast Surg 2010 Jan;64(1):47-51. [DOI:10.1097/SAP.0b013e31819ae02d] [PMID]
3. Brito ÍM, Avashia Y, Rohrich RJ. Evidence-based Nasal Analysis for Rhinoplasty: The 10-7-5 Method. Plastic and reconstructive surgery Global Open 2020;8(2):e2632-e. [DOI:10.1097/GOX.0000000000002632] [PMID] [PMCID]
4. Sykes JM, Kim JE, Shaye D, Boccieri A. The importance of the nasal septum in the deviated nose. Facial Plast Surg 2011 Oct;27(5):413-21. [DOI:10.1055/s-0031-1288928] [PMID]
5. Vuyk HD. A review of practical guidelines for correction of the deviated, asymmetric nose. Rhinology 2000 Jun;38(2):72-8.
6. Yi JS, Jang YJ. Frequency and Characteristics of Facial Asymmetry in Patients With Deviated Noses. JAMA Facial Plast Surg 2015 Jul-Aug;17(4):265-9. [DOI:10.1001/jamafacial.2015.0388] [PMID]
7. Dasdar S, Kianfar N, Sadeghi M, Saedi B. The Impact of Facial Asymmetry on the Surgical Outcome of Crooked Nose: A Case Control Study. Aesthet Surg J 2021 May 18;41(6):Np284-np94. [DOI:10.1093/asj/sjaa405] [PMID]
8. Akbaş H, Keskin M, Güneren E, Eroglu L, Demir A, Uysal OA. Unilateral osteotomies for externally deviated noses. Aesthetic Plast Surg 2002 Nov-Dec;26(6):413-5. [DOI:10.1007/s00266-002-2050-6] [PMID]
9. Rohrich RJ, Villanueva NL, Small KH, Pezeshk RA. Implications of Facial Asymmetry in Rhinoplasty. Plast Reconstr Surg 2017 Sep;140(3):510-6. [DOI:10.1097/PRS.0000000000003606] [PMID]
10. Hussein WKA, Baker SR, Ismail AS, Elwany S. Crooked nose: The asymmetric face. Egyptian Journal of Ear, Nose, Throat and Allied Sciences 2015 2015/11/01/;16(3):237-42. [DOI:10.1016/j.ejenta.2015.08.003]
11. Nouraei SA, Pulido MA, Saleh HA. Impact of rhinoplasty on objective measurement and psychophysical appreciation of facial symmetry. Arch Facial Plast Surg 2009 May-Jun;11(3):198-202. [DOI:10.1001/archfaci.2009.33] [PMID]
12. Katira K, Guyuron B. The deviated nose and asymmetric eyebrows: an important trap to avoid. Plast Reconstr Surg 2014 Mar;133(3):519-23. [DOI:10.1097/01.prs.0000438067.84408.be] [PMID]
13. Chatrath P, De Cordova J, Nouraei SA, Ahmed J, Saleh HA. Objective assessment of facial asymmetry in rhinoplasty patients. Arch Facial Plast Surg 2007 May-Jun;9(3):184-7. [DOI:10.1001/archfaci.9.3.184] [PMID]
14. Tasman A-J. Rhinoplasty - indications and techniques. GMS current topics in otorhinolaryngology, head and neck surgery 2007;6:Doc09-Doc.
15. Ahmad J. Commentary on: The Impact of Facial Asymmetry on the Surgical Outcome of Crooked Nose: A Case Control Study. Aesthetic Surgery Journal 2021;41(6):NP295-NP9. [DOI:10.1093/asj/sjab023] [PMID]
16. Kim YM, Rha KS, Weissman JD, Hwang PH, Most SP. Correlation of asymmetric facial growth with deviated nasal septum. Laryngoscope 2011 Jun;121(6):1144-8. [DOI:10.1002/lary.21785] [PMID]
17. Pirsig W. Growth of the deviated septum and its influence on midfacial development. Facial Plast Surg 1992 Oct;8(4):224-32. [DOI:10.1055/s-2008-1064654] [PMID]
18. Akbay E, Cokkeser Y, Yilmaz O, Cevik C. The relationship between posterior septum deviation and depth of maxillopalatal arch. Auris Nasus Larynx 2013 Jun;40(3):286-90. [DOI:10.1016/j.anl.2012.07.016] [PMID]
19. Hartman C, Holton N, Miller S, et al. Nasal Septal Deviation and Facial Skeletal Asymmetries. The Anatomical Record 2016 2016/03/01;299(3):295-306. [DOI:10.1002/ar.23303] [PMID]

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