Lateral displacement of the free border of the septal cartilage is a common finding in any clinic where many submucous resections are performed. This displacement produces:
Protrusion of the free border of the septal cartilage in one nostril instead of lying between the cutaneous surfaces of the columella.
Displacement of the inferior edge of the septal cartilage lateral to and below the anterior inferior nasal spine and the groove of the vomer, allowing the tip of the nose to drop.
Pulling of the columella to the side of the protruding cartilage and enlargement of the opposite nostril.
Curling of the septal cartilage with the concavity on the side of the protruding edge. Usually the curling is sufficient to cause obstruction on the opposite side because of the convex bulge.
A classic submucous resection in such cases will obviously not relieve nasal obstruction.
Various methods of replacing the cartilage without submucous
HARBERT F. CORRECTION OF LATERAL DISPLACEMENT OF FREE BORDER OF THE SEPTAL CARTILAGE. Arch Otolaryngol. 1940;31(2):341–343. doi:10.1001/archotol.1940.00660010343011
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