Menton (Me) deviation is commonly used for diagnosing facial asymmetry. This study compared angle and distance measurement in determining the severity of Me deviation for facial asymmetry diagnosis. Three-Dimensional Computed Tomographic(3D CT) images of 32 patients (mean age 22.5yrs, SD 3.4yrs; 16 male, 16 female) with facial asymmetry were selected for this study. Angle and distance of Me deviation in each patient were obtained and the severity of Me deviation was determined according to the angle and the distance measurement. The severity of Me deviation by angle and distance measurement was compared and statistical analysis was performed. Eight (25%) showed disagreement in severity of Me deviation between the two measurements. The kappa coefficient on the two measurements was 0.67, showing substantial agreement. It is suggested that both angle and distance measurement be performed in determining severity of Me deivation.