{"id":1755,"date":"2025-11-13T14:41:36","date_gmt":"2025-11-13T11:41:36","guid":{"rendered":"https:\/\/wiki.voka.io\/?post_type=diseases_post&#038;p=1755"},"modified":"2026-05-20T16:28:23","modified_gmt":"2026-05-20T13:28:23","slug":"deformations-nasales-externes","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/fr\/maladies\/oto-rhino-laryngologie\/deformations-nasales-externes\/","title":{"rendered":"D\u00e9formation nasale externe&nbsp;: classification, \u00e9tiologie, anatomie et traitement"},"content":{"rendered":"<p><?xml encoding=\"UTF-8\" ?><\/p>\n<p class=\"wp-block-paragraph\">Les alt\u00e9rations de la forme du nez externe peuvent \u00eatre associ\u00e9es \u00e0 un d\u00e9faut cong\u00e9nital ou \u00e0 un d\u00e9faut acquis du nez externe. Ces changements peuvent entra\u00eener une insatisfaction esth\u00e9tique ou m\u00eame nuire \u00e0 la fonction respiratoire d\u2019un individu. <\/p>\n<p class=\"wp-block-paragraph\">L\u2019affection touche g\u00e9n\u00e9ralement les parties cartilagineuses et\/ou osseuses de la pyramide. <\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/deformities-external-nose\/combined-deformity-of-external-nose.webp\" alt=\"D\u00e9formation nasale combin\u00e9e\"><figcaption class=\"wp-element-caption\">D\u00e9formation nasale combin\u00e9e<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"etiologie\"><strong>\u00c9tiologie<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Les changements de la forme du nez peuvent \u00eatre caus\u00e9s par diff\u00e9rents facteurs\u00a0:<\/p>\n<ul class=\"wp-block-list\">\n<li><strong>Blessure.<\/strong> C\u2019est la cause la plus fr\u00e9quente. Elle comprend les accidents de sport, de voiture, de naissance, les accidents domestiques et les chutes.<\/li>\n<li><strong>Maladie.<\/strong> La d\u00e9formation peut \u00eatre caus\u00e9e par\u00a0:\n<ul class=\"wp-block-list\">\n<li>des maladies de la peau (par ex. la couperose)\u00a0;<\/li>\n<li>des maladies g\u00e9n\u00e9rales (syst\u00e9miques) (syphilis, granulomatose avec polyang\u00e9ite (maladie de Wegener), l\u00e8pre)\u00a0;<\/li>\n<li>des infections nasales (par ex. un <span class=\"glossary-term\" data-title=\"Abc\u00e8s\" data-tooltip=\"Un abc\u00e8s est une accumulation locale de pus, limit\u00e9e par une capsule et r\u00e9sultant d&#039;une inflammation purulente des tissus. Il se caract\u00e9rise par la pr\u00e9sence d&#039;une membrane pyog\u00e8ne qui isole le foyer des tissus sains et emp\u00eache la propagation de l&#039;infection.\" data-link=\"https:\/\/wiki.voka.io\/fr\/glossaire\/abces\/\">abc\u00e8s<\/span> septal).<\/li>\n<\/ul>\n<\/li>\n<li><strong>Facteurs cong\u00e9nitaux.<\/strong> Une forme nasale disproportionn\u00e9e peut avoir des origines g\u00e9n\u00e9tiques ou ethniques.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"anatomie\"><strong>Anatomie<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">L\u00e9onard de Vinci aurait imagin\u00e9 la th\u00e9orie de la sym\u00e9trie faciale id\u00e9ale, \u00e9galement connue sous le nom de nombre d\u2019or, qui est aujourd\u2019hui utilis\u00e9e pour d\u00e9terminer les irr\u00e9gularit\u00e9s nasales. Selon sa th\u00e9orie, les moiti\u00e9s gauche et droite du visage doivent se refl\u00e9ter l\u2019une l\u2019autre. <\/p>\n<p class=\"wp-block-paragraph\">De Vinci a \u00e9galement introduit le concept du nombre d\u2019or (1\u00a0:\u00a01,618), qui permet d\u2019identifier les bonnes proportions du visage. Les intervalles entre les \u00e9l\u00e9ments du visage (yeux, nez, bouche) doivent correspondre \u00e0 ce rapport. <\/p>\n<p class=\"wp-block-paragraph\">Pour analyser le profil du visage, la chirurgie plastique moderne utilise des lignes et des points g\u00e9om\u00e9triques, tels que le nasion, le rhinion, le point pronasal et le point sous-nasal, et d\u00e9termine les angles nasofrontal et nasolabial. Lorsque les proportions sont d\u00e9form\u00e9es, on consid\u00e8re que la forme ext\u00e9rieure du nez est alt\u00e9r\u00e9e. <\/p>\n<p class=\"wp-block-paragraph\">Notez que cet article ne traite pas de l\u2019analyse esth\u00e9tique du visage. Vous trouverez ci-dessous les types de d\u00e9formations nasales les plus courants. <\/p>\n<h2 class=\"wp-block-heading\" id=\"classification-des-deformations-nasales-externes\"><strong>Classification des d\u00e9formations nasales externes<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Il n\u2019existe actuellement aucun syst\u00e8me de classification \u00e9tabli pour les d\u00e9formations nasales externes. Notre objectif est de d\u00e9crire les types les plus courants. <\/p>\n<p class=\"wp-block-paragraph\">Lorsque la partie cartilagineuse du nez ne se d\u00e9veloppe pas correctement, la columelle, l\u2019apex et les ailes du nez changent de forme, de position et d\u2019orientation. Les cartilages nasaux sont \u00e9galement responsables de la rigidit\u00e9 du tiers distal du dos du nez. La partie osseuse du nez est responsable de la forme de l\u2019ar\u00eate du nez, du profil du nez et de la pr\u00e9sence d\u2019une bosse ou d\u2019une d\u00e9formation en forme de selle.<\/p>\n<h3 class=\"wp-block-heading\" id=\"anomalies-dans-le-developpement-de-l-os-ou-du-cartilage-du-nez\">Anomalies dans le d\u00e9veloppement de l\u2019os ou du cartilage du nez <\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>La rhinokyphosis (nez d\u2019aigle)<\/strong> est une d\u00e9viation nasale dans laquelle le tiers moyen du dos devient plus \u00e9pais et une bosse se d\u00e9veloppe. \u00c0 l\u2019examen visuel, le nez ressemble \u00e0 un bec.<\/li>\n<li><strong>La rhinolordosis (d\u00e9formation en forme de selle)<\/strong> se manifeste lorsque la partie osseuse ou cartilagineuse situ\u00e9e dans la zone de la cloison nasale est d\u00e9stabilis\u00e9e. Le dos s\u2019enfonce alors et s\u2019\u00e9largit.<\/li>\n<li><strong>La platyrynia (nez plat)<\/strong> est une malformation caract\u00e9ris\u00e9e par un nez externe large et aplati avec une pointe arrondie. <\/li>\n<li><strong>La brachyrhinia (nez court et large)<\/strong> est une d\u00e9formation nasale caract\u00e9ris\u00e9e par un nez court et \u00e9pais avec un apex \u00e9ventuellement retrouss\u00e9.<\/li>\n<li><strong>La leptorhinia (nez \u00e9troit)<\/strong> est une malformation caract\u00e9ris\u00e9e par un nez \u00e9troit et long avec une faiblesse caract\u00e9ristique des cartilages des ailes.<\/li>\n<li><strong>La rhinoscoliosis (d\u00e9viation lat\u00e9rale)<\/strong> est une d\u00e9formation avec une d\u00e9viation typique de la ligne m\u00e9diane du nez, dans laquelle l\u2019ar\u00eate du nez est courb\u00e9e en forme d\u2019arc.<\/li>\n<\/ul>\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/catalog.voka.io\/en\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/846e69bb-cb2e-4e60-96dc-f7d5a82649b0\/375380ab-3451-4bc0-bbb1-370777be488f\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8les 3D<\/a> \u2013 d\u00e9formations nasales externes :<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_6a42d44515746\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/post-traumatic-nasal-changes\/rhinokyphosis-aquiline-nose.webp\" alt=\"Rhinokyphosis (nez d'aigle)\"><span class=\"small-text-article text-main-text-color\">Rhinokyphosis (nez d\u2019aigle)<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/post-traumatic-nasal-changes\/rhinolordosis-saddle-nose-deformity.webp\" alt=\"Rhinolordosis (d\u00e9formation en forme de selle)\"><span class=\"small-text-article text-main-text-color\">Rhinolordosis (d\u00e9formation en forme de selle)<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/post-traumatic-nasal-changes\/platyrrhinia-flat-nose.webp\" alt=\"Platyrynia (nez plat)\"><span class=\"small-text-article text-main-text-color\">Platyrynia (nez plat)<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/post-traumatic-nasal-changes\/brachyrhinia-short-broad-nose.webp\" alt=\"Brachyrhinia (nez court et large)\"><span class=\"small-text-article text-main-text-color\">Brachyrhinia (nez court et large)<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/post-traumatic-nasal-changes\/leptorrhinia-narrow-nose.webp\" alt=\"Leptorhinia (nez \u00e9troit)\"><span class=\"small-text-article text-main-text-color\">Leptorhinia (nez \u00e9troit)<\/span><\/div>\n<div class=\"swiper-slide image-carousel-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/post-traumatic-nasal-changes\/rhinoscoliosis-deviated-nose.webp\" alt=\"Rhinoscoliosis (d\u00e9viation lat\u00e9rale)\"><span class=\"small-text-article text-main-text-color\">Rhinoscoliosis (d\u00e9viation lat\u00e9rale)<\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"swiper-article-carousel__controls\">\n<div class=\"swiper-article-carousel__pagination-container swiper-article-carousel__pagination-container-block_6a42d44515746\"><\/div>\n<div class=\"swiper-article-carousel__arrows\"><button class=\"swiper__arrow swiper__arrow--prev carousel-swiper-button-prev swiper__arrow swiper__arrow--prev carousel-swiper-button-prev-block_6a42d44515746\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><button class=\"swiper__arrow swiper__arrow--next carousel-swiper-button-next swiper__arrow swiper__arrow--next carousel-swiper-button-next-block_6a42d44515746\" tabindex=\"0\" aria-label=\"Next slide\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"40\" height=\"40\" viewbox=\"0 0 40 40\" fill=\"none\"><path d=\"M20 3.75C16.7861 3.75 13.6443 4.70305 10.972 6.48862C8.29969 8.27419 6.21689 10.8121 4.98696 13.7814C3.75704 16.7507 3.43524 20.018 4.06225 23.1702C4.68926 26.3224 6.23692 29.2179 8.50952 31.4905C10.7821 33.7631 13.6776 35.3107 16.8298 35.9378C19.982 36.5648 23.2493 36.243 26.2186 35.013C29.1879 33.7831 31.7258 31.7003 33.5114 29.028C35.297 26.3557 36.25 23.2139 36.25 20C36.2455 15.6916 34.5319 11.561 31.4855 8.51454C28.439 5.46806 24.3084 3.75455 20 3.75ZM23.3844 25.3656C23.5005 25.4818 23.5926 25.6196 23.6555 25.7714C23.7184 25.9231 23.7507 26.0858 23.7507 26.25C23.7507 26.4142 23.7184 26.5769 23.6555 26.7286C23.5926 26.8804 23.5005 27.0182 23.3844 27.1344C23.2682 27.2505 23.1304 27.3426 22.9786 27.4055C22.8269 27.4683 22.6643 27.5007 22.5 27.5007C22.3358 27.5007 22.1731 27.4683 22.0214 27.4055C21.8696 27.3426 21.7318 27.2505 21.6156 27.1344L15.3656 20.8844C15.2494 20.7683 15.1572 20.6304 15.0943 20.4787C15.0314 20.3269 14.999 20.1643 14.999 20C14.999 19.8357 15.0314 19.6731 15.0943 19.5213C15.1572 19.3696 15.2494 19.2317 15.3656 19.1156L21.6156 12.8656C21.7318 12.7495 21.8696 12.6574 22.0214 12.5945C22.1731 12.5317 22.3358 12.4993 22.5 12.4993C22.6643 12.4993 22.8269 12.5317 22.9786 12.5945C23.1304 12.6574 23.2682 12.7495 23.3844 12.8656C23.5005 12.9818 23.5926 13.1196 23.6555 13.2714C23.7184 13.4231 23.7507 13.5858 23.7507 13.75C23.7507 13.9142 23.7184 14.0769 23.6555 14.2286C23.5926 14.3804 23.5005 14.5182 23.3844 14.6344L18.0172 20L23.3844 25.3656Z\" fill=\"#B5C0CD\"><\/path><\/svg><\/button><\/div>\n<\/div>\n<\/div>\n<p><script defer>\n    document.addEventListener('DOMContentLoaded', function() {\n        const imagesCarouselSwiper = new Swiper('.carousel-swiper-block_6a42d44515746', {\n            slidesPerView: 1,\n            spaceBetween: 20,\n            loop: true,\n            pagination: {\n                el: '.swiper-article-carousel__pagination-container-block_6a42d44515746',\n                clickable: true,\n            },\n            navigation: {\n                nextEl: '.carousel-swiper-button-next-block_6a42d44515746',\n                prevEl: '.carousel-swiper-button-prev-block_6a42d44515746',\n            },\n        })\n    })\n<\/script><\/p>\n<h3 class=\"wp-block-heading\" id=\"anomalie-causee-par-des-maladies-de-la-peau\">Anomalie caus\u00e9e par des maladies de la peau<\/h3>\n<ul class=\"wp-block-list\">\n<li><strong>Le rhinophyma<\/strong> est une inflammation chronique de la peau induite par la couperose. Cette affection se traduit \u00e9galement par un \u00e9paississement important de la peau du nez, entra\u00eenant une d\u00e9formation nasale externe.<\/li>\n<\/ul>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/post-traumatic-nasal-changes\/rhinophyma.webp\" alt=\"Rhinophyma\"><figcaption class=\"wp-element-caption\">Rhinophyma : <a href=\"https:\/\/catalog.voka.io\/en\/models\/8861ee9e-a330-4451-856d-1de6ead27805\/846e69bb-cb2e-4e60-96dc-f7d5a82649b0\/1195631a-4331-41cf-bdf7-df8ce30eaee2\/803cf6f0-3ae7-4312-ae7c-59d63c4be911\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Mod\u00e8le 3D<\/a><\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"manifestations-cliniques\"><strong>Manifestations cliniques<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Ces affections affectent l\u2019apparence du nez et peuvent nuire \u00e0 ses fonctions, comme la respiration ou l\u2019odorat. <\/p>\n<h2 class=\"wp-block-heading\" id=\"diagnostic\"><strong>Diagnostic<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">Un professionnel de la sant\u00e9 doit proc\u00e9der \u00e0 un examen visuel pour \u00e9valuer la forme ext\u00e9rieure du nez et demander au patient s\u2019il se plaint de quelque chose. <\/p>\n<h2 class=\"wp-block-heading\" id=\"traitement\"><strong>Traitement<\/strong><\/h2>\n<p class=\"wp-block-paragraph\">La forme ext\u00e9rieure du nez peut \u00eatre corrig\u00e9e \u00e0 l\u2019aide de techniques peu invasives, par exemple l\u2019injection de produits de comblement dans des zones sp\u00e9cifiques du nez. Toutefois, cette m\u00e9thode n\u2019est pas adapt\u00e9e aux d\u00e9fauts les plus graves et le r\u00e9sultat est temporaire. <\/p>\n<p class=\"wp-block-paragraph\">La th\u00e9rapie chirurgicale vise \u00e0 corriger le nez externe et\/ou interne, son apparence et la fonction respiratoire. Selon le type de d\u00e9formation, la rhinoplastie peut \u00eatre ferm\u00e9e ou ouverte.<\/p>\n<figure class=\"wp-block-video\" id=\"animation-3d-rhinoplastie-ouverte\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/otorhinolaryngology\/deformities-external-nose\/open-rhinoplasty-web.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Animation 3D\u00a0: rhinoplastie ouverte<\/figcaption><\/figure>\n<h2 class=\"wp-block-heading\" id=\"evolution-et-traitement-du-rhinophyma\"><strong>\u00c9volution et traitement du rhinophyma <\/strong><\/h2>\n<h3 class=\"wp-block-heading\" id=\"etiologie-du-rhinophyma\">\u00c9tiologie du rhinophyma<\/h3>\n<p class=\"wp-block-paragraph\">Le rhinophyma r\u00e9sulte d\u2019une inflammation chronique persistante de la peau en cons\u00e9quence de la couperose. Il est tr\u00e8s fr\u00e9quent chez les hommes d\u2019\u00e2ge moyen et \u00e2g\u00e9s et est rarement observ\u00e9 chez les femmes. La pr\u00e9disposition g\u00e9n\u00e9tique est \u00e9galement l\u2019un des facteurs cl\u00e9s. Une exposition prolong\u00e9e aux UV et un mode de vie malsain (tabagisme, abus d\u2019alcool, consommation excessive d\u2019\u00e9pices) tendent \u00e0 exacerber l\u2019affection. Les troubles hormonaux peuvent \u00e9galement favoriser et aggraver le rhinophyma. <\/p>\n<h3 class=\"wp-block-heading\" id=\"anatomie-du-rhinophyma\">Anatomie du rhinophyma<\/h3>\n<p class=\"wp-block-paragraph\">Le tissu conjonctif, les vaisseaux sanguins et les glandes s\u00e9bac\u00e9es commencent \u00e0 prolif\u00e9rer suite \u00e0 une inflammation chronique de la peau. Progressivement, la peau nasale d\u00e9veloppe des nodules rouges denses recouverts de vaisseaux superficiels. Les nodules se transforment ensuite en accumulations tub\u00e9reuses cyanopurpuriques et des t\u00e9langiectasies peuvent appara\u00eetre. Les glandes s\u00e9bac\u00e9es augmentent consid\u00e9rablement de volume et produisent des \u00e9coulements excessifs. <\/p>\n<h3 class=\"wp-block-heading\" id=\"presentation-clinique-du-rhinophyma\">Pr\u00e9sentation clinique du rhinophyma<\/h3>\n<p class=\"wp-block-paragraph\">Les patients sont avant tout pr\u00e9occup\u00e9s par leur apparence d\u00e9figur\u00e9e. Le nez devient cyanos\u00e9, tub\u00e9reux et consid\u00e9rablement \u00e9largi. Les pores sont \u00e9galement plus grands et la peau est grasse et brillante. Dans les cas extr\u00eames, l\u2019affection peut entra\u00eener une douleur et une g\u00eane. Les sympt\u00f4mes ont tendance \u00e0 s\u2019aggraver avec le temps. <\/p>\n<h3 class=\"wp-block-heading\" id=\"diagnostic-du-rhinophyma\">Diagnostic du rhinophyma<\/h3>\n<p class=\"wp-block-paragraph\">Le diagnostic est bas\u00e9 sur les ant\u00e9c\u00e9dents m\u00e9dicaux et un examen physique. L\u2019avis d\u2019un dermatologue ou d\u2019un cosm\u00e9tologue est g\u00e9n\u00e9ralement recommand\u00e9. <\/p>\n<div class=\"social-banner-block\">\n<div class=\"social-banner-content\">\n<p class=\"h5-title text-black\">Retrouvez d\u2019autres contenus scientifiquement exacts sur nos m\u00e9dias sociaux<\/p>\n<p><span class=\"social-banner-text text-grey\">Abonnez-vous et ne manquez pas les derni\u00e8res ressources<\/span><\/p>\n<div class=\"social-links-wrapper\"><a class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h3 class=\"wp-block-heading\" id=\"traitement-du-rhinophyma\">Traitement du rhinophyma<\/h3>\n<p class=\"wp-block-paragraph\">Un traitement m\u00e9dical peut arr\u00eater la maladie. <\/p>\n<p class=\"wp-block-paragraph\">Il est conseill\u00e9 aux patients de rompre avec leurs mauvaises habitudes et de limiter leur exposition aux temp\u00e9ratures \u00e9lev\u00e9es et aux UV. <\/p>\n<p class=\"wp-block-paragraph\">Les pommades antibact\u00e9riennes, l\u2019acide az\u00e9la\u00efque et les r\u00e9tino\u00efdes se sont r\u00e9v\u00e9l\u00e9s efficaces. <\/p>\n<p class=\"wp-block-paragraph\">Le traitement au laser des tissus pathologiquement alt\u00e9r\u00e9s peut \u00eatre une option. Cette m\u00e9thode cible les vaisseaux hypertrophi\u00e9s et r\u00e9duit l\u2019inflammation.<\/p>\n<p class=\"wp-block-paragraph\">Une croissance importante des tissus nasaux externes n\u00e9cessite g\u00e9n\u00e9ralement une intervention chirurgicale. Dans ce cas, des outils sp\u00e9cialis\u00e9s et des impulsions \u00e9lectriques sont utilis\u00e9s pour exciser les tissus en trop.<\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Quels sont les principaux types de d\u00e9formations nasales externes\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Les principaux types de d\u00e9formations structurelles sont la rhinokyphosis (nez en bosse ou d\u2019aigle), la rhinoscoliosis (d\u00e9viation lat\u00e9rale de l\u2019axe nasal) et la rhinolordosis, \u00e9galement connue sous le nom de d\u00e9formation du nez en forme de selle (indentation de l\u2019ar\u00eate du nez).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Quelles sont les causes du rhinophyma et \u00e0 quelle vitesse se d\u00e9veloppe-t-il\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cause principale du rhinophyma est une \u00e9volution s\u00e9v\u00e8re et prolong\u00e9e de la couperose, une maladie de la peau qui entra\u00eene une inflammation chronique et une hypertrophie (\u00e9largissement) des glandes s\u00e9bac\u00e9es et du tissu conjonctif du nez. Le d\u00e9veloppement du rhinophyma est un processus tr\u00e8s lent qui s\u2019\u00e9tale sur plusieurs ann\u00e9es, voire plusieurs d\u00e9cennies. Il se transforme progressivement d\u2019une simple rougeur \u00e0 la formation de nodules et de bosses.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. Comment traiter le rhinophyma\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Dans les premiers stades du rhinophyma, des m\u00e9thodes conservatrices sont utilis\u00e9es pour contr\u00f4ler la couperose\u00a0: m\u00e9dicaments topiques (acide az\u00e9la\u00efque, r\u00e9tino\u00efdes), th\u00e9rapie au laser pour r\u00e9duire les rougeurs et l\u2019inflammation, et \u00e9vitement des facteurs d\u00e9clenchants (UV, alcool). Dans les cas de d\u00e9formation grave, la seule m\u00e9thode efficace est l\u2019excision chirurgicale de l\u2019exc\u00e8s de tissu.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Quelles sont les causes courantes des d\u00e9formations nasales externes\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">La cause la plus fr\u00e9quente est une blessure m\u00e9canique\u00a0: domestique, li\u00e9e au sport ou r\u00e9sultant d\u2019un accident de la circulation. La d\u00e9formation nasale peut \u00e9galement \u00eatre cong\u00e9nitale, \u00eatre une caract\u00e9ristique ethnique ou se d\u00e9velopper \u00e0 la suite de maladies syst\u00e9miques affectant le tissu cartilagineux (par ex. la granulomatose avec polyang\u00e9ite) ou d\u2019infections (abc\u00e8s septal).<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Comment sont trait\u00e9es les d\u00e9formations structurelles du nez, telles que la rhinokifosis ou la rhinoscoliosis\u00a0?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Contrairement au rhinophyma, ces d\u00e9formations sont trait\u00e9es en modifiant la forme du squelette osseux et cartilagineux. La principale m\u00e9thode est la chirurgie (rhinoplastie ou rhinoseptoplastie), qui permet de r\u00e9tablir l\u2019anatomie correcte et, si n\u00e9cessaire, la fonction respiratoire. La correction temporaire et peu invasive de d\u00e9fauts mineurs est possible \u00e0 l\u2019aide d\u2019injections de produits de comblement.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"references\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">R\u00e9f\u00e9rences<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>VOKA 3D Anatomy & Pathology \u2013 Complete Anatomy and Pathology 3D Atlas [Internet] [VOKA 3D Anatomie et Pathologie \u2013 Atlas 3D complet d\u2019anatomie et de pathologie [Internet]. VOKA 3D Anatomy & Pathology (VOKA 3D Anatomie et Pathologie). <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse suivante\u00a0: https:\/\/catalog.voka.io\/<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Sclafani AP, Dyleski RA, Pitman MJ, Schantz SP. Total otolaryngology\u2014head and neck surgery (Oto-rhino-laryngologie \u2013 chirurgie cervico-faciale). New York: Thieme Medical Publishers; 2015. ISBN: 978-1-60406-646-3.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Behrbohm H, Kaschke O, Nawka T, Swift A. Bolezni ukha, gorla i nosa [Ear, nose, and throat diseases]. 2\u00e8me \u00e9d. Moscou\u00a0: MEDpress-inform; 2016. 776 p. [En russe.] ISBN 978-5-00030-322-1.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Suh MK, Jeong E. Correction of deviated nose. Arch Craniofac Surg. 2018 Jun;19(2):85-93. doi: 10.7181\/acfs.2018.01914. PMID\u00a0: 29996638\u00a0; PMCID\u00a0: PMC6057124.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Sam A, Deshmukh PT, Patil C, Jain S, Patil R. Nasal septal deviation and external nasal deformity: A correlative study of 100 cases (D\u00e9viation de la cloison nasale et d\u00e9formation nasale externe\u00a0: une \u00e9tude corr\u00e9lative de 100\u00a0cas). Indian J Otolaryngol Head Neck Surg. 2012 Dec;64(4):312-318. doi\u00a0: 10.1007\/s12070-011-0311-x. PMID\u00a0: 24294569\u00a0; PMCID\u00a0: PMC3477430.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Rhinoplasty Archive (Archive de rhinoplastie). Rhinoplasty dissection manual. Chapter 1 [Internet]. <\/cite><\/p>\n<p><span class=\"small-text-medium text-grey\">Disponible \u00e0 l\u2019adresse : https:\/\/www.rhinoplastyarchive.com\/articles\/rhinoplasty-fundamentals\/rhinoplasty-dissection-manual-chapter-1 <\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Kao WK, Ho T. The management of posttraumatic nasal deformities. Facial Plast Surgery 2023 Dec;39(6):630-637. doi: 10.1055\/a-2152-8670. PMID\u00a0: 37567568.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Huseynov J, Mozet C. \u00dcbersicht und aktuelle Empfehlung zur Therapie des Rhinophyms [A systematic review and current recommendation for treatment of rhinophyma]. Laryngorhinootologie. 2020 Nov;99(11):772-778. German. doi: 10.1055\/a-1208-5284. PMID\u00a0: 33111293.<\/cite><\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\"><cite>Chauhan R, Loewenstein SN, Hassanein AH. Rhinophyma: prevalence, severity, impact and management. Clin Cosmet Investig Dermatol. 2020 Aug 11;13:537-551. doi: 10.2147\/CCID.S201290. PMID\u00a0: 32848439\u00a0; PMCID\u00a0: PMC7429105.<\/cite><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Les alt\u00e9rations de la forme du nez externe peuvent \u00eatre associ\u00e9es \u00e0 un d\u00e9faut cong\u00e9nital ou \u00e0 un d\u00e9faut acquis du nez externe. Ces changements peuvent entra\u00eener une insatisfaction esth\u00e9tique ou m\u00eame nuire \u00e0 la fonction respiratoire d&rsquo;un individu. L&rsquo;affection touche g\u00e9n\u00e9ralement les parties cartilagineuses et\/ou osseuses de la pyramide. \u00c9tiologie Les changements de la [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"template":"","diseases_category":[233],"class_list":["post-1755","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-oto-rhino-laryngologie"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>D\u00e9formations nasales externes\u00a0: types, causes, diagnostic, traitement<\/title>\n<meta name=\"description\" content=\"D\u00e9formations nasales externes\u00a0: classification, pr\u00e9sentation clinique et causes. 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