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Advancements in Crooked Nose Correction: Suture Suspension Technique

Comparing the suture suspension technique for crooked nose repair introduced by Dayan SH and Shah AR in 2004 to more recent literature reveals a progression in the complexity and specificity of techniques tailored to address various aspects of nasal deformity. The approach by Dayan and Shah, focusing on a suture suspension method, aimed to offer a more refined solution to the common issue of nasal asymmetry, emphasizing minimal invasiveness and precision.


Recent advancements and discussions in the field have introduced various nuanced techniques, each addressing the multifaceted nature of crooked nose deformities, incorporating principles from the original suture suspension method while expanding on them to include considerations for underlying structural issues, aesthetic outcomes, and functional improvement.


Suture Under Tension Across Cartilage (2017)

This method involves maintaining tension across sutured cartilage to balance asymmetric strength on either side, aiming to reduce postoperative recurrence of the crooked nose. The operation is described as simple and essential for correcting nasal deformity, suggesting an evolution of suture techniques towards addressing both aesthetic and structural concerns of a crooked nose with an emphasis on long-term stability (Yuan et al., 2017).


A Combined Approach To Crooked Nose Deformity (2016)

Introduces a technique involving asymmetric medial oblique osteotomy, septoplasty with L-strut preservation, and overlapping cruroplasty, suggesting a more holistic approach to addressing crooked nose deformities that encompasses not just suturing but structural modifications for comprehensive results (Ínanli & Binnetoğlu, 2016).


Using the Septal Shift Technique to Correct Crooked Nose Deformity (2022)

This technique focuses on correcting the septal deviation by shifting the septum towards the midline, representing a surgical evolution aimed at directly addressing the structural cause of the crooked nose with precise suturing and cartilage manipulation to achieve a straighter nasal profile (Karaca, 2022).


Caudal Septal Stabilization Suturing Technique to Treat Crooked Noses (2016)

Highlights a suturing technique aimed at stabilizing the caudal septum, suggesting an advancement in targeting specific nasal substructures to improve both the aesthetic and functional outcomes of crooked nose repair. This method proposes a "fishing net"-like approach for suturing, indicating a shift towards more intricate and targeted suture applications in rhinoplasty (Baykal et al., 2016).


These recent advancements reflect a trend towards integrating structural correction with aesthetic enhancement, using suturing not just as a means of superficial adjustment but as a part of a comprehensive strategy for correcting nasal deformities. The progression from the suture suspension technique introduced by Dayan and Shah to current methodologies underscores a deeper understanding of nasal anatomy and a commitment to achieving both functional and cosmetic excellence in rhinoplasty.

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