軟骨性斜鼻の矯正

抄録

The deviated nose can be classified into two, namely, the bony deviation and the cartilaginous deviation.
The surgical procedure to the bony deviated nose is represented by lateral osteotomy.
The cartilaginous deviated nose can be caused by imbalanced development between the septal cartilage and lateral cartilage.
The treatment consists maikly of surgery on the septal cartilage.
The author performs the operation on the cartilaginous deviated nose according to the Killian's method as follows:
The septal perichondrium is detached bilaterally and the septal cartilage is resected partly as a large piece, which is preserved for later use.
The upper part of the remaining septal cartilage is detached bilaterally and made movable.
The removed cartilage is worked on a little and inserted again into the nasal septum and mattress sutures are placed for fixation.
The present paper introduces a simple method for correcting cartilaginous deviated nose.