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Facial Plast Surg 2011; 27(5): 413-421
DOI: 10.1055/s-0031-1288928
© Thieme Medical Publishers

The Importance of the Nasal Septum in the Deviated Nose

Jonathan M. Sykes1 , Ji-Eon Kim1 , David Shaye1 , Armando Boccieri2
  • 1Davis Department of Otolaryngology–Head and Neck Surgery, Facial Plastic and Reconstructive Surgery, University of California, Sacramento, California
  • 2Department of Maxillo-Facial Surgery, S. Camillo Hospital, Rome, Italy
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Publication History

Publication Date:
25 October 2011 (online)

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ABSTRACT

The nasal septum plays an important role in both the appearance and function of the nose. Deviation of the nose is common and correction requires a focused, anatomically based treatment. Reconstruction and support of the septum is a necessary component to a straight nose. The “four R's” of nasal septal repair—resection, reposition, reconstruction, and replacement—can be used to straighten the septum and maximize nasal appearance and function.

KEYWORDS

Crooked nose - septum - deviated septum - septoplasty

REFERENCES

  • 1 Godley F A. Nasal septal anatomy and its importance in septal reconstruction.  Ear Nose Throat J. 1997;  76 498-501 504-506
    Search in Google Scholar
  • 2 Dingman R O. Correction of nasal deformities due to defects of the septum.  Plast Reconstr Surg (1946). 1956;  18 291-304
    Search in Google Scholar
  • 3 Gorney M. The septum in rhinoplasty: form and function. In: Millard D, ed. Symposium on Corrective Rhinoplasty. Vol. 13. Miami, FL, January 15–18, 1975. St Louis, MO: Mosby; 1975: 180-
    Search in Google Scholar
  • 4 Killian G. The submucous window resection of the nasal septum.  Ann Otol Rhinol Laryngol. 1905;  14 363-393
    Search in Google Scholar
  • 5 Spector M. Partial resection of the inferior turbinate.  Ear Nose Throat J. 1982;  61 200-203
    Search in Google Scholar
  • 6 Beck J C, Sie KCY. The growth and development of the nasal airway.  Facial Plast Surg Clin North Am. 1999;  7 257-262
    Search in Google Scholar
  • 7 Moore K L, Persaud TVN. The Developing Human: Clinically Oriented Embryology. 5th ed. Philadelphia: W.B. Saunders; 1993
    Search in Google Scholar
  • 8 Ducic Y, Hilger P. Surgical correction of the deviated septum.  Facial Plast Surg Clin North Am. 1999;  7 319-331
    Search in Google Scholar
  • 9 Pontius A T, Leach Jr J L. New techniques for management of the crooked nose.  Arch Facial Plast Surg. 2004;  6 263-266
    Search in Google Scholar
  • 10 Vuyk H D. A review of practical guidelines for correction of the deviated, asymmetric nose.  Rhinology. 2000;  38 72-78
    Search in Google Scholar
  • 11 TerKonda R P, Sykes J M. Repairing the twisted nose.  Otolaryngol Clin North Am. 1999;  32 53-64
    Search in Google Scholar
  • 12 Freer O T. The correction of deflections of the nasal septum with a minimum of traumatism.  JAMA. 1902;  38 636-642
    Search in Google Scholar
  • 13 Freer O T. Deflections of the nasal septum and their correction by the window resection.  Ann Otol Rhinol Laryngol. 1905;  15 213-266
    Search in Google Scholar
  • 14 Cottle M H, Loring R M. Surgery of the nasal septum; new operative procedures and indications.  Ann Otol Rhinol Laryngol. 1948;  57 705-713
    Search in Google Scholar
  • 15 Wright W K. Principles of nasal septum reconstruction.  Trans Am Acad Ophthalmol Otolaryngol. 1969;  73 252-255
    Search in Google Scholar
  • 16 Most S P. Anterior septal reconstruction: outcomes after a modified extracorporeal septoplasty technique.  Arch Facial Plast Surg. 2006;  8 202-207
    Search in Google Scholar
  • 17 Becker O J. Problems of the septum in rhinoplastic surgery.  AMA Arch Otolaryngol. 1951;  53 622-639
    Search in Google Scholar
  • 18 Ovchinnikov Y, Sobol E, Svistushkin V, Shekhter A, Bagratashvili V, Sviridov A. Laser septochondrocorrection.  Arch Facial Plast Surg. 2002;  4 180-185
    Search in Google Scholar
  • 19 Keefe M W, Rasouli A, Telenkov S A et al.. Radiofrequency cartilage reshaping: efficacy, biophysical measurements, and tissue viability.  Arch Facial Plast Surg. 2003;  5 46-52
    Search in Google Scholar
  • 20 Metzinger S E, Boyce R G, Rigby P L, Joseph J J, Anderson J R. Ethmoid bone sandwich grafting for caudal septal defects.  Arch Otolaryngol Head Neck Surg. 1994;  120 1121-1125
    Search in Google Scholar
  • 21 Boccieri A. Evolution of the septal crossbar graft technique.  Facial Plast Surg. 2006;  22 255-265
    Search in Google Scholar
  • 22 Pastorek N J, Becker D G. Treating the caudal septal deflection.  Arch Facial Plast Surg. 2000;  2 217-220
    Search in Google Scholar
  • 23 Sedwick J D, Lopez A B, Gajewski B J, Simons R L. Caudal septoplasty for treatment of septal deviation: aesthetic and functional correction of the nasal base.  Arch Facial Plast Surg. 2005;  7 158-162
    Search in Google Scholar
  • 24 Toriumi D M. Subtotal reconstruction of the nasal septum: a preliminary report.  Laryngoscope. 1994;  104 906-913
    Search in Google Scholar
  • 25 Gubisch W. Extracorporeal septoplasty for the markedly deviated septum.  Arch Facial Plast Surg. 2005;  7 218-226
    Search in Google Scholar
  • 26 Boccieri A. Subtotal reconstruction of the nasal septum using a conchal reshaped graft.  Ann Plast Surg. 2004;  53 118-125
    Search in Google Scholar
  • 27 Della Santina C C, Byrne P J. Initial management of total nasal septectomy defects using resorbable plating.  Arch Facial Plast Surg. 2006;  8 128-138
    Search in Google Scholar
  • 28 Boenisch M, Mink A. Clinical and histological results of septoplasty with a resorbable implant.  Arch Otolaryngol Head Neck Surg. 2000;  126 1373-1377
    Search in Google Scholar
  • 29 Tweedie D J, Lo S, Rowe-Jones J M. Reconstruction of the nasal septum using perforated and unperforated polydioxanone foil.  Arch Facial Plast Surg. 2010;  12 106-113
    Search in Google Scholar

Jonathan SykesM.D. 

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology–Head and Neck Surgery

2521 Stockton Blvd., Suite 6206, Sacramento, CA 95817

Email: jonathan.sykes@ucdmc.ucdavis.edu