Septoplasty by disarticulation

Copyright © 2020. Published by Elsevier Masson SAS..

The difficulty of correcting nasal septum deformities using the classical Killian or Cottle techniques or derivatives has led in recent years to new suggestions such as extracorporeal septoplasty or various apposition grafts to counteract refractory deformity of the quadrangular cartilage. Naturally occurring septal deformities result from conflicts in growth between the quadrangular cartilage, perpendicular ethmoidal plate and vomer, which each have their own different evo-devo origin. Septoplasty by disarticulation consistently restores a level septum by completely resolving the growth conflicts. Conserving the quadrangular cartilage is essential for the stability of the nasal pyramid on condition that 1) the lateral flare of the superior edge of both the component septolateral cartilages that suspend it at the roof of the piriform orifice and 2) the height of its anterior edge are respected. The anterior edge is always high enough (except in case of fracture or malformation to project the retrolobular nasal dorsum in proportion to the height of the alar cartilage when it is repositioned on its natural premaxillary base.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:137

Enthalten in:

European annals of otorhinolaryngology, head and neck diseases - 137(2020), 5 vom: 02. Nov., Seite 423-426

Sprache:

Englisch

Beteiligte Personen:

Jankowski, R [VerfasserIn]
Gallet, P [VerfasserIn]
Nguyen, D-T [VerfasserIn]
Rumeau, C [VerfasserIn]

Links:

Volltext

Themen:

Journal Article
Nasal cartilages
Nasal obstruction
Septoplasty
Septorhinoplasty

Anmerkungen:

Date Completed 25.10.2021

Date Revised 25.10.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.anorl.2020.07.014

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM315902817