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The variety of septal deformities is infinite, no two cases being exactly alike, therefore a classification is best attempted by describing the types most often encountered, with a view to elucidation and systematizing of the treatment.
I. EXCRESCENCE OR SPUR OF THE SEPTUM.
—This usually projects horizontally from the base of the quadrangular cartilage, although it is sometimes vertical. It may be ledgeshaped, ovoid, or pointed, and may be implanted upon the convexity of a deviation.
Mixed cartilaginous and bony spur.
—This is a continuation of the former type upward and backward, and it usually embraces first the sutural line of the cartilage and vomer, but gathers volume and thickness as it proceeds along the sutural junction of the vomer and ethmoidal plate, terminating opposite the middle meatus or turbinated body, into which it may press. The opposite side is somewhat concave or it may be the seat
CASSELBERRY WE. DEFORMITIES OF THE SEPTUM NARIUM. THEIR CLASSIFICATION WITH A VIEW TO TREATMENT. JAMA. 1899;XXXII(9):469–471. doi:10.1001/jama.1899.92450360019001j
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