While the pathology and the treatment of bony nasal fractures are well established, the results of injury to the cartilaginous components of the nose, being less definite, are often misinterpreted. In this paper I shall discuss dislocations of the cartilaginous nasal structures and their relationship to external deformities and outline a method of reconstruction based on the anatomic changes resulting from trauma.
The fibrocartilaginous structure of the nose is based on the position and the interrelationship of the septum and the lateral cartilages, on the one hand, and the bony framework, on the other.The septal cartilage is solidly fixed in a bony angle formed by the perpendicular plate and the vomer (fig. 1 A). The topography of its inferior border is of great surgical significance. The upper border of the vomer presents a groove of varying depth in which the septum is affixed and whence a cartilaginous
MALINIAC JW. FRACTURE-DISLOCATIONS OF THE CARTILAGINOUS NOSE: ANATOMICOPATHOLOGIC CONSIDERATIONS AND TREATMENT. Arch Otolaryngol. 1945;42(2):131–137. doi:10.1001/archotol.1945.00680040167006
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