IN A previous presentation, it was demonstrated how with the new procedure1 one could, with safety, entirely excise a deformed septal cartilage and still support the nose by the use of the upper lateral cartilages and a columellar cartilaginous strut. Since then various modifications of the procedure have been advanced by other investigators (Fomon and others2). One modification by Galloway3 in my opinion destroys what I consider the shock absorber action of the membranous septum because it traverses the membranous septum with a rigid cartilage graft. A columellar strut implanted into the columella by the Fomon technic is a more sound procedure physiologically. My experience has taught me that it is futile to attempt to correct scar contractures of the mucoperichondrial flaps by the employment of septal cartilage grafts. Regardless of the type of septal deformity, its correction must be achieved along the lines of proved surgical
KAYSER R. PROGRESS IN SURGERY OF THE SEPTUM. Arch Otolaryngol. 1949;49(2):210–224. doi:10.1001/archotol.1949.03760080088008
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