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March 1929

REPLACEMENT OF THE LOWER END OF THE DISLOCATED SEPTAL CARTILAGE VERSUS SUBMUCOUS RESECTION OF THE DISLOCATED END OF THE SEPTAL CARTILAGE

Arch Otolaryngol. 1929;9(3):282-296. doi:10.1001/archotol.1929.00620030300008
Abstract

Dislocation of the lower end of the septal cartilage may be part of the nasal deformity resulting from severe injuries to the nasal bridge. The bony framework is fractured, depressed and distorted, and the bony and cartilaginous septum fractured and dislocated. For the proper correction of such a septum, the entire nose must be reconstructed.

First, the spread nasal base must be brought together. This raises the depressed nasal bridge. The raising of the depressed nasal bridge reestablishes the original space occupied by the septum, so that the bony portion of the septum can be reset; then the cartilaginous portion of the septum and, finally, the lower fractured dislocated end of the septum may be reset in the median line.

The second general class of nasal injuries in which the lower end of the cartilaginous septum is fractured and dislocated occurs in children when they fall on the face,

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