목적: The correction of a hump nose aims to achieve an ideal dorsal profile line while maintaining proper nasal function. However, the coexistence of a deviated nose is not uncommon and poses an additional challenge in correction. We aimed to analyze the categorization and correction of hump nose, considering the presence of a deviated nose. 방법:We retrospectively analyzed medical records and facial photographs of 100 patients who underwent primary rhinoplasty and showed a dorsal hump in preoperative photographs. Hump types were classified as bony, cartilaginous, bony-cartilaginous, and pseudo hump. Deviated noses were categorized into types I-V based on the combination of bony vault deviation and cartilaginous vault deviation. Surgical approaches and techniques, along with combined procedures such as the use of spreader grafts, osteotomies, and camouflage, were recorded and analyzed. 결과:Humps were most commonly bony-cartilaginous (71.1%), followed by bony (22.7%) and cartilaginous humps (6.2%), excluding pseudo-humps. Bony humps and bony-cartilaginous humps were accompanied by bony deviation (types I, II, and V), while cartilaginous humps did not exhibit bony deviation (p=0.032). Regarding the approach, an open approach was common for both bony and bony-cartilaginous humps, while endonasal approaches were frequent for cartilaginous humps (p=0.045). Regardless of hump type, osteotomies were performed more frequently when deviation was present (p=0.007), with no significant difference in medial osteotomy (p=0.226). However, lateral osteotomy was more commonly performed in cases where deviation was present (p=0.007). Similarly, camouflage was more frequently employed when deviation was present (p=0.014). 결론:Hump nose correction should be tailored to individual anatomical characteristics, with consideration given to the coexisting deviated nose in surgical planning. The association of bony humps with bony deviation highlights the need for a classification system and treatment algorithm specifically addressing humps with accompanying deviation.