| Abstract: | The authors propose a method which decreases the traumatism of surgery for nasal septum repair and helps attain more stable cosmetic results. An open endonasal incision is made behind the alar cartilage pedicles and continued along the fold between the alar and triangular cartilages to the nostril wing base. Perpendicular to this incision and starting from its end, another incision is made, also through the mucosal and cartilagenous tissue to the site where lateral parts of alar cartilages are changed for median. The mucocartilaginous flap is thus cut from the external upper part of the lateral compartment of the alar cartilage. The same intervention is made from the other side. Then the flaps and wound edges are mobilized, the columella is rendered a proper position, and the detected hidden tissue defect is filled with mucocartilaginous flaps. This method is based on correct understanding of the deformation, detection of the latent defect of tissues, and its repair by means of the adjacent tissues making incisions from the nasal cavity. The modification differs favorably from the prototype method. |
