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Paula C: "Ultimately, I chose Dr. Becker because of his dedication and specialization in correcting breathing problems, controlling allery symptoms, and of course, great revision rhinoplasty! Now, with some time having passed, I can only say that I am unbelievably HAPPY with the results. Thanksful that Dr. Becker did such a great job!" Read More

THE SEVERELY TWISTED NOSE

LECTURE ON OSTEOTOMIES

» Septal Surgery with Harvest of Cartilage

Septal Surgery with Harvest of Cartilage

Figure 7. This CT scan demonstrates a straight septum. Large, bilateral concha bullosa, or aerated middle turbinates, are causing the patient's nasal obstruction.

In patients with a severely deviated caudal and dorsal septum, the offending portion may be excised and replaced with a straight piece of cartilage, typically harvested from the septum more posteriorly.3 Suture fixation to a stable segment of cartilage attached at the osseocartilaginous junction and nasal spine will allow reconstruction of an intact L-strut to support the lower third of the nose. The reconstructed caudal segments can be sutured between the medial crura to set nasal length, projection, rotation, and alar-columellar relationship.

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