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Article
April 1937

AN OPERATION TO REPAIR LATERAL DISPLACEMENT OF THE LOWER BORDER OF THE SEPTAL CARTILAGE

Author Affiliations

NEWARK, N. J.

Arch Otolaryngol. 1937;25(4):475-477. doi:10.1001/archotol.1937.00650010529014
Abstract

Lateral displacement of the lower free border of the septal cartilage, with protrusion of the displaced cartilage into one nostril is a condition observed in many patients consulting rhinologists for relief of nasal obstruction. In such cases the free border of the septal cartilage, instead of occupying its normal midline position between the two skin folds of the columella, protrudes into one nostril, pulling the columella toward the side of the protrusion. There are also depression of the nasal tip due to the absence of septal support and enlargement and distortion of the opposite nostril (fig., A). A conventional submucous resection in such cases obviously fails to improve breathing, because the displaced buttress of cartilage left anteriorly still protrudes into the nostril. Surgeons operating on a considerable number of patients with this condition have successfully corrected the deformity by freeing the anterior displaced portion of septal cartilage, making a hinge

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