[Septorhinoplasty for nasal deviation complicated with septal cartilage deformity].

OBJECTIVE: To investigate a method for safe, simple and effective correction of nasal deviation complicated with the deformity of nasal septal cartilage. METHODS: From one side of the septal cartilage, the whole muco-perichondrium was separated, and from the other side a U-shaped muco-perichondrium was separated. The bottom of the septal cartilage was freed while a part of cartilage connected with the vomer was reserved. RESULTS: 12 patients were operated on with this technique for nasal deviation from March 1996 to August 1999. The follow-up period ranged from 1 to 12 months. The overall result was successful in all cases except one of recurrence. CONCLUSION: This technique not only provides wide space for removing the spetal cartilage, but also creates a cartilaginous framework to support the septal cartilage in the middle without lowing the nasal tip, which avoids the tendency of migrating to its original position caused by external fixation. This technique also ensures replacing the septal cartilage in the midline regardless of the deformity of anterior nasal spine and the vomer.