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The Nasal Septum

Nasal obstruction is a subjective sensation that is unique to each individual and that variably correlates with anatomic pathology. The structural support that the septum affords must be preserved and is the reason that surgeons have moved from aggressive resection to preservation. The importance of an intact L-strut, an adequately supported nasal valve, and relief of obstruction is recognized. A good septoplasty with attention to all of these areas is a prerequisite for not only a functional nose, but a straight nose as well.

REFERENCES

  1. Adams W: The treatment of the broken nose by forcible straightening and mechanical apparatus, BMJ 2:421, 1875.
  2. Arbour P, Kern EB: Paradoxical nasal obstruction, Can J Otolaryngol 4:333, 1975.
  3. Arbour P: Nasal airway surgery—concepts and technique. Johnson JT, Perkay CS, Mandell-Brown MK and others: Instructional courses. St Louis, 1991, Mosby, 4:34–56.
  4. Asch M: Treatment of nasal stenosis due to deflective septum with and without thickening of the convex side, Laryngoscope 6:340, 1899.
  5. Beck JC, Sie KCY: The growth and development of the nasal airway, Facial Plast Surg Clin North Am 7:257, 1999.
  6. Bernstein L: Airway problems after rhinoplasty, Facial Plast Surg Clin North Am 3:449, 1995.
  7. Bernstein L: Submucous operations on the nasal septum. Symposium on the nasal cavities, Otolaryngol Clinics of North America 6:675, 1973.
  8. Boenninghaus G: Bemerkungen zum aufsatze loewes: zur chirurgie der nasenscheidewand, Monatsschr Ohrenh 34:287, 1900.
  9. Clerico DM, Fieldman R: Referred headache of rhinogenic origin in the absence of sinusitis, Headache 34:226, 1994.
  10. Cole P: Acoustic rhinometry and rhinomanometry, Rhinol (Suppl) 16:29, 2000.
  11. Constantinides M, Miller PJ : New developments in nasal valve analysis and functional nasal surgery, Curr Opin Otolaryngol Head Neck Surg 6:238, 1998.
  12. Constantinides MS, Adamson PA, Cole P : The long-term effects of open cosmetic septorhinoplasty on nasal air flow, Arch Otolaryngol Head Neck Surg 122:41, 1996.
  13. Corey JP and others : Normative standards for nasal cross-sectional areas by race as measured by acoustic rhinometry, Otolaryngol Head Neck Surg 119:389, 1998.
  14. Cottle MH and others: The ‘maxilla-premaxilla’ approach to extensive nasal septum surgery, Arch Otolaryngol Head Neck Surg 60:301, 1958.
  15. Cottle MH, Loring RM: Newer concepts of septum surgery: present status, Eye Ear Nose Throat Monthly 27:403, 1948.
  16. Culviner WT and others: Experimental myospherulosis of the paranasal sinuses: a histologic rabbit study, Am J Rhinol 14:131, 2000.
  17. Dinis PB, Haider H: Septoplasty: long-term evaluation of results, Am J Otolaryngol 23:85, 2002.
  18. Douglass B: Treatment of nasal stenosis due to deflective septa, with or without thickening of convex side, Laryngoscope 6:356, 1899.
  19. Enlow DH: Facial growth, ed 3. Philadelphia, W.B. Saunders, 1990.
  20. Fomon S and others: Plastic repair of the deflected nasal septum, Arch Otolaryngol 55:141, 1946.
  21. Fred GB: The nasal tip rhinoplasty: use of the invaginating technique to prevent secondary drooping, Ann Otolaryngol 59:215, 1950.
  22. Freer OT: The correction of deflections of the nasal septum with a minimum of traumatism, JAMA 38:636, 1902.
  23. Giles WC and others: Endoscopic septoplasty, Laryngoscope 104:1507, 1994.
  24. Girardin M, Bilgen E, Arbour P: Experimental study of velocity fields in a human nasal fossa by laser anemometry, Ann Otol Rhinol Laryngol 92:231, 1983.
  25. Gleason EB: Treatment of nasal stenosis due to deflective septa, with or without thickening of convex side, Laryngoscope 6:352, 1899.
  26. Godley FA: Nasal septal anatomy and its importance in septal reconstruction, Ear Nose Throat J 76:498, 1997.
  27. Goldman IB: New technique in surgery of the deviated nasal septum, Arch Otolaryngol Head Neck Surg 64:183, 1956.
  28. Goode RL: Surgery of the incompetent nasal valve, Laryngoscope 95:546, 1985.
  29. Gray H: Anatomy of the human body. Philadelphia, Lea & Febiger, 1918.
  30. Grymer LF, Rosborg J: The aging nose, long-term results following plastic septal surgery, J Laryngol Otol 101:363, 1987.
  31. Gubisch W: The extracorporeal septum plasty: a technique to correct difficult nasal deformities, Plast Reconstr Surg 95:672, 1995.
  32. Guyuron B, Uzzo CD, Scull H: A practical *CLASSification of septonasal deviation and an effective guide to septal surgery, Plast Reconstr Surg 104:2202, 1999.
  33. Heetderks DR: Observations on the reaction of normal nasal mucous membrane, Am J Med Sci 174:231, 1927.
  34. Heinberg CE, Kern EB: The Cottle sign: an aid in the physical diagnosis of nasal airflow disturbances, Rhinology 11:89, 1973.
  35. Hinderer KH: History of septoplasty. In Fundamentals of anatomy and surgery of the nose. Birmingham, Alabama, 1971, Aesculapius Publishing Co, p 1.
  36. Hwang PH and others: Endoscopic septoplasty: indications, technique, and results, Otolaryngol Head Neck Surg 120:678, 1999.
  37. Ingals EF: Deflections of the septum narium, Arch Laryngol 3:291, 1882.
  38. Jackson AC and others: Airway geometry by analysis of acoustic pulse response measurements, J Appl Physiol 43:523, 1977.
  39. Jackson LE, Koch RJ : Controversies in the management of inferior turbinate hypertrophy: a comprehensive review, Plast Reconstr Surg 103:300, 1999.
  40. Jafek BW, Dodson BT, Bailey BJ, editors: Head & neck surgery—otolaryngology. Philadelphia: Williams & Wilkins, 2001.
  41. Janeke JB, Wright WK: Studies on the support of the nasal tip, Arch Otolaryngol 93:458, 1971.
  42. Kamani Y, Pandraud L, Bougara A: Laser-assisted outpatient septoplasty: results in 703 patients, Otolaryngol Head Neck Surg 112:445, 2000.
  43. Kamer FM, Churukian MM: High septal hemitransfixion for the correction of caudal septal deformities, Laryngoscope 94:391, 1984.
  44. Kasperbauer JL, Kern EB: Nasal valve physiology: implications in nasal surgery, Otolaryngol Clin North Am 20:699, 1987.
  45. Kern EB, Arbour P: The phenomenon of paradoxical nasal obstruction, Arch Otolaryngol 102:669, 1976.
  46. Killian G: Die submucöse fensterresektion der nasenscheidewand, Arch Laryngologie Rhinologie 16:362, 1904.
  47. Krespi YP, Mayer M, Slatkine M: Laser photocoagulation of the inferior turbinates, Op Tech Otolaryngol Head Neck Surg 5:287, 1994.
  48. Kridel RWH, Foda H, Lunde KC: Septal perforation repair with acellular human dermal allograft, Arch Otolaryngol Head Neck Surg 124:73, 1998.
  49. Kridel RWH, Konior RJ: Controlled nasal tip rotation via the lateral crural overlay technique, Arch Otolaryngol Head Neck Surg 117:411, 1991.
  50. Kridel RWH, Konior RJ: Irradiated cartilage grafts in the nose, Arch Otolaryngol Head Neck Surg 119:24, 1993.
  51. Kridel RWH, Kraus WM: Grafts and implants in revision rhinoplasty, Facial Plast Surg Clin North Am 3:473, 1995.
  52. Kridel RWH, Lunde K: Nasal septal reconstruction: review and update, Facial Plast Surg Clin North Am 7:105, 1999.
  53. Kridel RWH, Scott BA, Foda HMT: The tongue-in-groove technique in septorhinoplasty, Arch Facial Plast Surg 1:246, 1999.
  54. Krieg R: Resection der cartilago quadrangularis septi nasem sur heilung der scoliosis septi, Medicinishes Cocrespondenz blatt Wurtenburgishen Artzlicken Verein Stuttgart 56:201, 1886.
  55. Leonard DW, Thompson DH: Unusual septoplasty complication: Streptococcus viridans endocarditis, Ear Nose Throat J 77:827, 1998.
  56. Liu E, Kridel RW: Postrhinoplasty nasal cysts and the use of petroleum-based ointments and nasal packing, Plast Reconstr Surg 112:282, 2003.
  57. Metzenbaum M: Replacement of the lower end of the dislocated septal cartilage versus submucous resection of the dislocated end of the septal cartilage, Arch Otolaryngol 9:282, 1929.
  58. Miller PJ, Constantinides M: Grafting for nasal valve collapse, Op Tech Otolaryngol Head Neck Surg 10:238, 1999.
  59. Moore KL, Persaud TVN: The developing human: clinically oriented embryology, ed 5. Philadelphia, W.B. Saunders, 1993.
  60. Nunez-Fernandez D, Vokurka J, Chrobok V: Bone and temporal fascia graft for the closure of septal perforation, J Laryngol Otol 112:1167, 1998.
  61. Ossoff RH and others: Clinical applications of lasers in otolaryngology—head and neck surgery, Laser Surg Med 15:217, 1994.
  62. Paniello RC: Nasal valve suspension, Arch Otolaryngol Head Neck Surg 122:1342, 1996.
  63. Park SS: Treatment of the internal nasal valve, Facial Plast Surg Clin North Am 7:333, 1999.
  64. Paugh DR, Sullivan MJ: Myospherulosis of the paranasal sinuses, Otolaryngol Head Neck Surg 103:117, 1990.
  65. Peacock MR: Submucous resection of the nasal septum, J Laryngol Otol 95:341, 1981.
  66. Pearson BW, Goodman WS: S.M.R., septoplasty, and the surgical relief of nasal obstruction, Can J Otolaryngol 2:238, 1973.
  67. Planas J: The twisted nose, Clin Plast Surg 4:55, 1977.
  68. Proetz A: Applied physiology of the nose. St Louis: Annals Publishing Co, 1941.
  69. Ramadan HH: Nonsurgical versus endoscopic sinonasal surgery for rhinogenic headache, Am J Rhinol 13:455, 1999.
  70. Rees TD: Surgical correction of the severely deviated nose by extramucosal excision of the osseocartilaginous septum and replacement as a free graft, Plast Reconstr Surg 78:320, 1986.
  71. Rethi A: Operation to shorten an excessively long nose, Rev Chir Plast 2:85, 1934.
  72. Roe JO: Treatment of nasal stenosis due to deflective septa, with or without thickening of convex side, Laryngoscope 6:344, 1899.
  73. Rohrich RJ and others: The deviated nose: optimizing results using a simplified *CLASSification and algorithmic approach: Plast Reconstr Surg 110:1509, 2002.
  74. Santayana G: The life of reason: reason in common sense. New York, Charles Scribner’s Sons, 1905.
  75. Sessions RB, Troost T: The nasal septum. In Cummings CW, editor: Otolaryngology—head and neck surgery, vol 1. St Louis, 1993, Mosby, pp 786–806.
  76. Sheen JH: Spreader graft: a method of reconstructing the roof of the middle nasal vault following rhinoplasty, Plast Reconstr Surg 73:230, 1984.
  77. Shemen L, Hamburg R: Preoperative and postoperative nasal septal surgery assessment with acoustic rhinometry, Otolaryngol Head Neck Surg 117:338, 1997.
  78. Slavit DH and others: Reconstruction of caudal end of septum, Arch Otolaryngol Head Neck Surg 121:1091, 1995.
  79. Smith M: Abusive rhinology, Br J Clin Pract 13:458, 1957.
  80. Stewart MG, Smith TL, Weaver EM and others: Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study, Otolaryngol Head Neck Surg 130(3):283–290, 2004.
  81. Stoksted P, Vas P: Perforation of the nasal septum following operative procedures, Rhinology 6:123, 1978.
  82. Tardy MD: Rhinoplasty: the art and the science. Philadelphia: W.B. Saunders, 1997.
  83. Toriumi DM and others: Use of alar batten grafts for correction of nasal valve collapse, Arch Otolaryngol Head Neck Surg 123:802, 1997.
  84. Toriumi DM: Innovative surgical management of the crooked nose. In Proceedings of the Dallas Rhinoplasty Symposium, Dallas, 1997.
  85. Watson AW: Treatment of nasal stenosis due to deflective septa, with or without thickening of convex side, Laryngoscope 6:348, 1899.
  86. Wei JL, Remington WJ, Sherris DA: Work-up and evaluation of patients with nasal obstruction, Facial Plast Surg Clin North Am 7:263, 1999.
  87. Wheeler TM, Sessions RB, McGavran MH: Myospherulosis: a preventable iatrogenic nasal and paranasal entity, Arch Otolaryngol 106:272, 1980.
  88. Wright WK: Principles of nasal septum reconstruction, Trans Am Acad Ophthalmol Otolaryngol 73:252, 1969.
  89. Younger RAL, Denton AB: Controversies in turbinate surgery, Facial Plast Surg Clin North Am 7:311, 1999.

 

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