Nasal deformity is a difficult condition to treat surgically due to its close associations with nasal airflow obstruction and the possibility of post-operative retroversion. In this study, we propose a novel method to efficiently address high septal deviation, one of the most challenging nasal deformities. Our technique involves the use of a septal swing graft, which requires only a small amount of nasal septal cartilage, and has demonstrated promising outcomes.
In the operation, nasal septal cartilage was developed in an open approach, L-strut was set at a 12 mm width, and the nasal septal curvature was excised. The remaining L-strut curvature was corrected by making an incision as far as possible in the dorsal direction of the nose at the nasal septal cartilage-cribriform vertical plate border on the cephalic side of L-strut, and a septal swing graft was inserted into the gap created and fixed. All 11 patients for whom the method was applied from June 2023 and followed for more than six months showed improvement in nasal deformity.
The septal swing graft is very useful for the treatment of high septal deviation as it can easily correct L-strut entirely requiring only a small amount of nasal septal cartilage.
