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J Oto Rec Surg 2 1: The most regular, defect-free area of the quadrangular cartilage which has been previously removed is trimmed and shaped into a rectangle; in some cases this may include part of the perpendicular plate. In an effort to further reduce destabilization risk and to preserve the nasal dorsum contour, Persichetti et al. Correction of caudal deflections of the nasal septum with a modified Goldman septoplasty technique: In , Dupont and colleages 7 described their experience using the vomer or the perpendicular plate of the ethmoid bone as a splint to reinforce a weakened L-strut after wedge resections of dorsal and caudal deflections. The graft provides permanent internal reinforcement of the septum to ensure that the caudal septum remains straight. American Journal of Otolaryngology.
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The correction of nasal septal deviations in rhinoplasty

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Septoplasty | Chicago, IL

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Septoplasty and Rhinoplasty

In particular, the modified conservative approach has demonstrated to achieve an adequate septum remodelling with cartilage spare and to avoid post-operative dorsum irregularities compared with the more traditional techniques. If the caudal or lower portion of the septum is deformed or dislocated, it often leads to a crooked nasal tip and asymmetrical nostrils. If it is located in the anterior portion of the nose, This deviation will must be corrected or the patient will likely not have enough of an improvement postoperative. Cartilage grafting is often necessary in the collapsed areas of the cartilaginous portion of the nose to give a straighter looking nose.
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Swinging door deformity of nose
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