Key points
*There are 4 different types of crooked nose deformities (I-type,
C-type, S-type, cartilaginous) described in the literature.
*Despite all technological, anatomical and surgical advancements,
correcting a crooked nose may not be possible in a significant group of
patients.
*There are both functional and esthetic problems in crooked nose
deformities, and achieving a successful result is possible with
appropriate preoperative analysis.
* In this technique, the middle vault is preserved, the bony cap is
mobilized and preserved, and the lateral nasal bones are equalized by a
piezo device or classical osteotomes.
*Mobilization of the bony cap allows the dorsal septal cartilage to move
freely, and this maneuver helps the correction of the middle third
deviations.
*In our technique, we correct asymmetries at the lower maxillary nasal
junction, such as in the Let-down approach, as well as asymmetries at
the K-point, such as in the structural approach. Thus, we combine the
advantages of both techniques.