Reconstruction of the Nasoseptal L-Strut in Rhinoplasty

Long-term Outcomes of Subtotal Septal Reconstruction in Rhinoplasty

“…Although there are several reported descriptions of various techniques for manipulation of the L-strut of the septum, [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] to our knowledge this is the first study that demonstrates quantitative functional and objective aesthetic outcomes. Although the 3-D analytic equipment is not widely available because of cost restraints, these data should lend confidence to the surgeon in need of a more powerful technique for the severely deviated septum.…”

“…Failure to adequately address deviations in this portion of the septum, however, can result in continued nasal obstruction with or without aesthetic deformity. Multiple techniques have been previously described to achieve correction of the deviated L-strut, with a comprehensive approach to subtotal septal reconstruction also previously published by one of us (D.M.T.) …”

“…Failure to adequately address deviations in this portion of the septum, however, can result in continued nasal obstruction with or without aesthetic deformity. Multiple techniques have been previously described [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17] to achieve correction of the deviated L-strut, with a comprehensive approach to subtotal septal reconstruction also previously published by one of us (D.M.T.). 18 Evidence-based medicine has begun to pervade facial plastic surgery to allow the nasal surgeon to practice in a more systematic fashion.…”