Cartilaginous Septum in the Reconstruction of the Nose; A Modified Procedure

AN INCREASING amount of attention has recently been given to the septal cartilage in the reconstruction of the nose. 1 The indications for this operation consist in correction of deviated noses and also relief of nasal obstruction in various degrees. In such cases the lower border of the cartilaginous septum is found to be protruding into one nostril, while the opposite nostril is distorted and the columella pulled toward the first side. Sometimes the columella is also retracted, especially when the deviation of the septum was originally caused by a fall on the tip of the nose. Also, the septal cartilage may be too short and the distance between the columella and the quadrangular cartilage too large, as a result of which the membranous septum is too long. There is often also a bulging of the upper lateral cartilage at the side of the protrusion and/or a depression of or behind