Deviation of the Septum in Relation to the Twisted Nose

Forty-five degree cutting septoplasty

“…Progress in surgical rhinoplasty techniques has made it possible to use procedures that are more radical than in the past such as the correction of septal deformity and corrective rhinoplasty performed in one procedure. This is capable of eliminating the most common complications, such as insufficient treatment, structural weakening and relapse (12,13,(15)(16)(17). However, the risk for recurrence remains because of the strong 'elastic memory' of the cartilage, which tends to return the septum to its original preoperative position and avoid any undue weakening of the structure resulting in collapse of the nasal dorsum.…”

NASAL FRACTURES: An Analysis of One Hundred Cases

“…Therefore, a roentgenogram showing no abnormalities does not rule out a fracture. 6. As a rule, the nasal fractures in adults are reduced with the use of local anesthesia.…”

45 Reconstructive Surgery of the Nasal Septum

“…Although the submucous resection was a significant advancement, several shortcomings were noted (Table 45.1), with a significant problem involving the inability to address caudal end deformities. Metzenbaum 7 and others 8,9,10,11,12 proposed alternative methods for addressing management of caudal end deformities.…”