In records addressing septal deviation, nasal obstruction and external deviation often appear together. In a primary rhinoplasty patient, a dorsal hump, a crooked nasal bridge, and nasal obstruction were documented together, while in a revision patient, findings noted a deviated septum along with a depleted amount of remaining cartilage due to prior harvesting.
Check the condition of the cartilage described in the original records, even within the same term "deviation." In one case, a septum that was thinner and more deviated than expected was identified during surgery, requiring partial reconstruction followed by septal extension. Separating the steps taken to straighten the septum from those used to support or elevate the nasal tip clarifies the surgical sequence.
View before-and-after cases ↓Comprehensive rhinoplasty guide
Following prior surgeries, a bulbous and drooping long nose with an excessively high radix and nasal obstruction was corrected using a closed approach. Scar tissue debridement, osteotomy, nasolabial angle correction, and septoplasty were performed concurrently.
Preoperative condition
A case where post-surgical trauma caused a septal tear, resulting in a crooked nose and nostril asymmetry. Septal reconstruction was performed using autologous rib cartilage, along with realigning the columellar central axis and replacing the implant.
Preoperative condition
A case involving a long, drooping nasal tip and nasal obstruction following previous rhinoplasty with a silicone implant and septal cartilage. The nasal tip was corrected using autologous rib cartilage, performed concurrently with septoplasty, inferior turbinate reduction, and synechia adhesiolysis.
Preoperative condition
Residual facial asymmetry and a deviated septum following double jaw surgery were corrected using autologous rib cartilage reconstruction. Lateral osteotomy, precision carving of a silicone implant, and rhinitis surgery were performed concurrently.
Preoperative condition
Septal cartilage damaged from previous surgeries was reconstructed using autologous rib cartilage, and the lower lateral cartilages were restored. Lateral osteotomy and rhinitis surgery were performed concurrently to correct the crooked nose and nostril asymmetry.
Preoperative condition
Lost lower lateral cartilage was reconstructed using autologous rib cartilage, and asymmetric, pinched nostrils were corrected. By lowering the radix, the appearance of a long nose was reduced, and surgery for rhinitis and nasal valve stenosis was performed concurrently.
Preoperative condition
Contracture and septal defect resulting from repeated surgeries were reconstructed using autologous rib cartilage. For the retracted columella, retroauricular free skin flap grafting and perichondrium grafting were performed to restore its shape.
Preoperative condition
In a primary rhinoplasty patient, a severely deviated septum was reconstructed using autologous rib cartilage, and hypertrophied inferior turbinates were reduced. Dermis was grafted into the depressed alar region, and the nasolabial angle was adjusted.
Preoperative condition
Nostril asymmetry caused by a tilted columellar axis and loss of alar cartilage after Gore-Tex insertion was corrected through Gore-Tex removal, autologous rib cartilage alar reconstruction, and septoplasty.
Preoperative condition
A bulbous, upturned nasal tip, the appearance of a protruding mouth, and nasal obstruction were addressed by removing columellar filler, reinforcing the nasal tip with autologous rib cartilage, placing a customized silicone implant, adjusting the nasolabial angle, and correcting a deviated septum.
Preoperative condition
An uneven nasal bridge, damaged septal cartilage, and nasal obstruction were corrected by removing the existing silicone implant and filler, followed by autologous rib cartilage reconstruction, re-insertion of a customized silicone implant, and septoplasty with inferior turbinoplasty.
Preoperative condition
A protruding dorsal hump, drooping long nose, crooked nose, and nasal obstruction were addressed together using autologous rib cartilage tip support, lateral osteotomy, septoplasty for a deviated septum, and inferior turbinate surgery.
Preoperative condition
A long nose, drooping nasal tip, crooked nasal bridge, and nasal obstruction remaining after prior functional surgery were corrected using autologous rib cartilage tip plasty, partial septal reconstruction, and lateral osteotomy.
Preoperative condition
In a male patient in his early 20s presenting with a crooked nose, dorsal hump, and nasal obstruction, osteotomy, tip rhinoplasty using donor rib cartilage and septal cartilage, and columellar correction were performed.
Preoperative condition
To resolve a damaged septum, an upturned nasal tip, and rhinitis-related nasal obstruction after multiple surgeries, autologous rib cartilage septal reconstruction and inferior turbinate reduction were performed.
Preoperative condition
A bulbous, spread-out nasal tip and deviated septum were refined with autologous rib cartilage septal extension, nasolabial angle correction, a silicone implant on the nasal dorsum, and functional nasal surgery.
Preoperative condition
A deviated septum and an excessively high radix resulting from a previous surgery were precisely corrected using donor rib cartilage septal reconstruction, silicone implant replacement, osteotomy, and inferior turbinate reduction.
Preoperative condition
In a patient presenting with columellar retraction and a pinched right alar rim following rhinoplasty with silicone and donor rib cartilage, the existing materials were removed and reconstruction of the septum and alar cartilage was performed using autologous rib cartilage.
Preoperative condition
Please try searching with different keywords.
Scroll to keep reading
They can be distinguished in the original text. One case notes that because the septum was thinner and more severely deviated than expected, partial reconstruction was performed using autologous rib cartilage. In another revision case, it is explained that almost no septal cartilage remained due to prior harvesting. It is helpful to distinguish between the condition of deviation itself and the specific correction or reconstruction performed to address it.
One original record explains that after partially reconstructing the septum, septal extension was performed in that area using autologous rib cartilage to elevate the nasal tip. This is a case where the step addressing the condition of the septum and the step changing the nasal tip were connected in the same surgery. Review how documentation of nasal obstruction or deviation relates to cosmetic changes in the nasal tip.
Read more records