Abstract
The septum is the central part of the framework of the nasal skeleton. It is partially cartilaginous, partially bone. It is also perhaps the most underestimated and neglected structure of the nose. In a review of 469 of our own rhinoplasties performed in 2009, 198 procedures were found to be revision cases. One hundred and fifty-three of these revision cases (77.2 %) required surgical correction of a residual septal deformity that created a negative functional and aesthetic outcome. And whereas the functional importance of the nasal septum is often appreciated, its importance to the aesthetic outcome of surgery is often greatly underappreciated. As a consequence, failed cosmetic and functional surgeries are increasingly common.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Suggested Reading
Boenisch M, Nolst Trenité GJ. Reconstruction of the nasal septum using polydioxanone plate. Arch Facial Plast Surg. 2010;12:4–10.
Daniel RK. Mastering rhinoplasty: a comprehensive atlas of surgical techniques with integrated video clips. Heidelberg: Springer; 2010.
Davis RE. Rhinoplasty and septoplasty. In: Snow J, Wackym A, editors. Ballenger’s otolaryngology head and neck surgery. 17th ed. Shelton: BC Decker/People’s Medical Publishing House; 2009. p. 633–9.
Gruber RP, Nahai F, Bogdan MA, Friedman GD. Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures: part I. Experimental results. Plast Reconstr Surg. 2005a;115:589–94.
Gruber RP, Nahai F, Bogdan MA, Friedman GD. Changing the convexity and concavity of nasal cartilages and cartilage grafts with horizontal mattress sutures: part II. Clinical results. Plast Reconstr Surg. 2005b;115:595–605.
Gubisch W. The extracorporeal septum plasty: a technique to correct difficult nasal deformities. Plast Reconstr Surg. 1995;4:218–26.
Gubisch W. Twenty-five years experience with extracorporeal septoplasty. Facial Plast Surg. 2006;22:230–9.
Gubisch W. Treatment of the scoliotic nose with extracorporeal septoplasty. Facial Plast Surg Clin North Am. 2015;23:11–22.
Gubisch W, Greulich M, Donath K. Experimental and clinical study on the vitality of orthotopic cartilage transplants. Plast Reconstr Surg. 1995;4:663–71.
Gunter JP, Rohrich RJ, Adams WP. Dallas rhinoplasty. Nasal surgery by the masters. St. Louis: QMP; 2002.
Guyuron B. Rhinoplasty. Philadelphia: Elsevier; 2012. p. 307–9.
Kantas I, Balatsouras DG, Papadakis CE, Marangos N, Korres SG, Danielides V. Aesthetic reconstruction of a crooked nose via extracorporeal septoplasty. J Otolaryngol Head Neck Surg. 2008;37:154–9.
Most SP. Anterior septal reconstruction. Arch Facial Plast Surg. 2006;8:202–7.
Rezaeian F, Gubisch W, Janku D, Haack S. New suturing techniques to reconstruct the keystone area in extracorporeal septal reconstruction. Plast Reconstr Surg. In press.
Sheen JH, Sheen A. Aesthetic rhinoplasty. 2nd ed. St. Louis: CV Mosby Company; 1987.
Sykes JM, Kim JE, Shaye D, Boccieri A. The importance of the nasal septum in the deviated nose. Facial Plast Surg. 2011;27(5):413–21.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Gubisch, W. (2018). Primary Septoplasty. In: Mastering Advanced Rhinoplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-67537-4_1
Download citation
DOI: https://doi.org/10.1007/978-3-319-67537-4_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-67536-7
Online ISBN: 978-3-319-67537-4
eBook Packages: MedicineMedicine (R0)