Impact of facial bone deformity on nasal shape

Victor Ravelo, Eder A. Sigua-Rodriguez, Ziyad S. Haidar, Leonardo Brito, Marcelo Parra, Sergio Olate*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Aim: The aim of this study was to analyze nose shape and size in subjects with sagittal facial deformities.
Methods: One hundred fifteen subjects were included for orthognathic surgery; the previous cone bean computed
tomography was used to perform the analysis. The sample consisted of 46 males (40%) and 69 females (60%);
the nasal morphology in frontal view and profile, the deviation of the nasal septum, the skeletal class and the
sagittal position of the maxilla were compared using the Spearman test, considering a P value < 0.05.
Results: Males had a greater vertical nasal skeletal measurement (P = 0.0006), greater cartilaginous nasal height (
P = 0.0001) and greater horizontal distance between the A point and Prn (P = 0.001). Considering the sagittal
position of the maxilla, subjects with maxillary prognathism had a higher nasal morphology value than subjects
with a retrognathic maxilla. In addition, nasal septum deviation was statistically related to facial class II (P = 0.03)
with significantly more deviation than class III subjects.
Conclusion: It may be concluded that there are variables in facial deformities related to nose shape and have to be
included in the surgical plan for orthognathic surgery or rhinoplasty.
Original languageEnglish
Article number19
Number of pages9
JournalPlastic and Aesthetic Research
Issue number19
StatePublished - 2021

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© The Author(s) 2021.


  • Facial deformity
  • nasal shape
  • orthognathic surgery
  • rhinoplasty


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