Korean J Otolaryngol-Head Neck Surg.  2001 Jun;44(6):616-620.

Rhinoplasty in combination with the total septal reconstruction of the severe septal & external deformities

• Jang TY
• Kim YJ
• Park SW
• Jung DH

Abstract

BACKGROUND AND OBJECTIVES
Caudal and/or dorsal septal deformities cause blockage of nasal passages and result in the external deformities of the nose. As these septal deformities can not be corrected by submucosal resection or septoplasty, the surgical correction of these nasal deformities is a difficult challenge. Functional and aesthetic results of total septal reconstruction provide the validity of total septal reconstruction. Material and Methods : This retrospective study reviewed the patients' records in case of "total septal cartilage reconstruction" for severely twisted scoliotic nose. Fifteen cases were detected as "total septal reconstruction" between January, 1998 and December, 1999. All cases were approached externally, and we followed up the patients from three months to one year by analyses with photography, rhinologic examination, and patients' survey.
RESULTS
All patients noted marked improvement of nasal obstruction. Aesthetic improvement of the nose was mostly obtained in fourteen cases. No infection, hematoma, graft extrusion, saddle nose deformity, or distortion occurred in this series.
CONCLUSION
Total septal reconstruction through external rhinoplasty approach is a suitable technique to obtain satisfactory aesthetic and functional results in severely deformed noses with caudal and/or dorsal septal deformities

Keyword

deformed nose; reconstructive surgical procedure

MeSH Terms

Cartilage
Congenital Abnormalities*
Hematoma
Humans
Nasal Obstruction
Nose
Photography
Reconstructive Surgical Procedures
Retrospective Studies
Rhinoplasty*
Transplants