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Surgeon, otorhinolaryngologist

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Nasal septum sagging: causes, symptoms, diagnosis, treatment

Alexey Portnov, medical expert
Last reviewed: 23.04.2024

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The sagging of the nasal septum is usually due to the excessiveness of its cutaneous part. As a result, the nostrils are wide open and through them the anterior part of the nasal septum mucosa is visible.

trusted-source [1], [2], [3], [4], [5], [6]

Treatment of sagging of the septum of the nose

Operation by the method of GI Pakovich is as follows: from two sides on the mucous membrane of the septum of the nose, having receded from its border with the skin 3-4 mm, make a half-moon incision facing the bulge outwards.

The incisions are from the base of the nasal passage to its arch. Then, using a scalpel or small blunt scissors, the skin is cut in the region of the septum of the nose. From the ends of the first incisions on the mucous membrane, the second half-moon incisions, which are convex in the nasal cavity, lead.

The spindle-shaped sections of the mucous membrane bordered on both sides are excised, the edges of the wound are sutured with catgut. As a result, the skin of the septum of the nose along with the mucosal areas is pulled upward to a height equal to the width of the excised spindle-shaped section of the mucous membrane. Lower nasal passages for 1-2 days are covered with gauze strips.

The procedure of osteoplastic correction of residual deformations

The technique of osteoplastic correction of residual deformations of the skeleton of the nose after heyloranastiphiloplasty (in connection with congenital nonunions of the upper lip and palate) was developed quite well and described by BN Davydov in the Methodological Recommendations (1982). For osteoplasty of the edges of the pear-shaped aperture, he uses a lyophilized or cold-preserved allogeneic crest of the ilium or rib.

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