Korean J Otolaryngol-Head Neck Surg.
2003 Aug;46(8):665-668.
Reconstruction of Dislocated Septal Cartilage through Columellar Flap Approach
- Affiliations
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- 1Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. bjlee@amc.seoul.kr
Abstract
- BACKGROUND AND OBJECTIVES
Sepatal deviation with caudal septal dislocation is difficult to correct using the classic septoplasty technique. Using the columellar flap approach, we remodeled the dislocated septal cartilage and fixed it at the anterior nasal spine. We report the techniques and results. MATERIALS AND METHOD: Eighteen men with the caudal septal dislocation from anterior nasal spine were operated using the columella flap approach. The study was conducted in a retrospective fashion focusing on preoperative status, operative results and complications. RESULTS: The operation time was in the average of 30 minutes. All patients except one showed improvement in nasal obstruction. Dislocation and deviation was corrected in all patients. The scar at nasolabial angle was not remarkable and no patient complained about the scar. CONCLUSION: Columellar flap approach in septoplasty can be used in patients with caudal septal dislocation.
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