ABSTRACT: BACKGROUND: The externally deviated nose represents a complex cosmetic and functional problem. Its correction remains one of the challenging problems in rhinoplasty. OBJECTIVE: To evaluate the result of correction of crooked nose by septorhinoplasty with fixation of nasal septum to the anterior nasal spine. METHODS: 54 patients have undergone primary septorhinoplasty through a closed approach including full mobilization of the septal cartilage, osteotomy to reduce the displaced lateral nasal wall and finally fixing the septal cartilage to the anterior nasal spine. RESULT: The minimum follow-up period was 6 months. Recurrence rate for nasal deviation 10%. The aesthetic results were considered good to excellent in all patients, as judged by both the surgeons and patients. CONCLUSION: Complete mobilization of septal cartilage without scoring along with its fixation to the anterior nasal spine is satisfactory for correcting crooked nose.