SUMMARY

Objective: This study was carried out to observe the causes and types of external nasal deformity, types of surgical procedures and to determine the patient’s satisfaction following surgery. Method: This is a prospective longitudinal study done in the Department of ENT and Head and Neck surgery, TU Teaching Hospital, Kathmandu. There were 89 patients who underwent different types of rhinoplastic procedures with or without septal surgery between April 2004 and July 2008. Ages less than 16 years were excluded. Statistical analysis was done using frequency and percentage. Results: Cause of external deformity includes developmental in 50 patients, traumatic in 35 patients, postoperative and infective in 2 patients each. Fourty one patients had crooked nose, 27 patients had hump and 8 patients had saddle nose deformity. Seventy patients had associated deviated nasal septum. Around 79.6 % patients were satisfied fully. Conclusion: Developmental cause followed by trauma were the most common cause of external nasal deformity while crooked nose was the most common type of nasal deformity. Septoplasty with corrective rhinoplasty were done in around half of the patients. Majority of the patients were satisfied with the surgical procedures