ANTERIOR deformities of the septum require complete exposure of the skeletal structures of the nose for correction. Such a procedure is necessary in order that the septum may be disengaged from its attachments. The usual route used for a submucous resection is applicable to correction of a central or posterior deflection. However, this technic without skeletal exposure does not allow for correction of a pronounced anterior deformity.
Of late, controversial thought has arisen concerning the role of the anterior cartilaginous portion of the septum. The anterior portion of the septum plays a definite role in supporting the nose. The lower lateral cartilages and the alae aid in this support.
It is not uncommon to see cases in which the septum inadvertently has been removed at operation or destroyed by disease, with the result that the nose is collapsed. This flattening is due to lack of cartilaginous septum and not to
LAMONT ES. PLASTIC SURGERY OF THE SEPTUM IN CONJUNCTION WITH RHINO-OSTEOPLASTY. Arch Otolaryngol. 1948;48(5):536–551. doi:10.1001/archotol.1948.00690040549004
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