الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
. The crooked nose is still a difficult challenge even to expert surgeons. Progress in surgical techniques has made it possible to employ procedures that are more radical than in the past, and capable of eliminating the most common complications, such as insufficient treatment, structural weakening and relapse. Our technique for the management of the crooked nose includes the use of septoplasty, spreader grafts and osteotomies, which offer satisfactory and longlasting results. The open approach septorhinoplasty considers being the best way for correcting the crooked nose deformities as it provide better field of vision and facilitating positioning and suturing the spreader grafts. In conclusion, many techniques can be used to correct functional and aesthetic problems associated with crooked noses. The preoperative and postoperative angle measurement method which was applied in our study may be helpful in evaluating the effectiveness of surgical techniques and the results for correction of the crooked nose deformities. In our study we used unilateral curved or straight spreader graft in the management of the middle third deviation of the nose by aiding in straightening the deviated nasal septum, aligning the deviated nasal dorsum in midline and improving nasal function by increasing the angle of INV, we postulated that the curved one would give better results as regards nasal aesthetics. Our study was conducted in otolaryngology head and neck surgery (ORL HNS) department, Zagazig university hospitals in the period of June 2015 to May 2016. Eighteen patients were included in our study. Informed written consent was signed by all the patients.The study was also approved from Zagazig University Institutional Review Board(IRB). The 18 patients were divided into two groups, group A; 9 patients were managed with curved unilateral spreader grafts on the convex side of nasal deviation, group B; 9 patients were managed with straight unilateral spreader grafts on the convex side of nasal deviation.