Background: Management of crooked nose deformity is
considered one of the most challenging and difficult procedures
in plastic surgery. For proper management of such condition, a
thorough pre and intraoperative analysis of all nasal structures
should be done.
Objective: The aim of this study is to report the significant
benefits from using the Auto CAD program in measurement of
angles of nasal deviation before surgery and its role in assessment
of the postoperative surgical results.
Patients and Methods: The study was done on 28 patients
with crooked nose deformity: Which were divided into two
groups, I-type, which included 15 patients, and C-type, which
included 13 patients. Deviation angles were measured by Auto
CAD program on frontal views before and at least 3 months
after the operation. Surgery was done through an open approach
under general anesthesia.
Results: Very good results were achieved for both type of
crooked noses (p < 0.05). Better results were achieved with the
I-type crooked nose deformity than those of the C-type deformity,
but still with insignificant difference. Statistics showed that
66.7% and 53.8% of the patients with crooked noses, I type and
C type respectively had good or excellent postoperative results.
Conclusion: We believe that using of the AutoCAD program
is a very helpful and accurate method for preoperative
assessment of angles of deviation and postoperative assessment
of the degree of correction. We think that it can be helpful also
measurement of nasofrontal, nasolabial, and nasofacial angles.
In addition, it can help in nasal length and alar base width.