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Sagging nasal septum: causes, symptoms, diagnosis, treatment
Last reviewed: 07.07.2025
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[ Treatment of sagging nasal septum
The operation according to the method of G. I. Pakovich consists of the following: on both sides of the mucous membrane of the nasal septum, stepping back from its border with the skin by 3-4 mm, semilunar incisions are made, with the convexity facing outward.
The incisions are made from the base of the nasal passage to its vault. Then, using a scalpel or small blunt-ended scissors, the skin in the area of the nasal septum is separated. From the ends of the first incisions on the mucous membrane, second crescent-shaped incisions are made, with the convexity facing the nasal cavity.
The spindle-shaped areas 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 nasal septum together with the areas of the mucous membrane are pulled upward to a height equal to the width of the excised spindle-shaped area of the mucous membrane. The lower nasal passages are tamponed with gauze strips for 1-2 days.
Method of bone plastic correction of residual deformities
The technique of osteoplastic correction of residual deformations of the nasal bone structure after cheilouranostaphyloplasty (in connection with congenital non-unions of the upper lip and palate) is well developed and described by B.N. Davydov in the "Methodological Recommendations" (1982). For bone grafting of the edges of the pyriform aperture, he uses lyophilized or cold-preserved allogenic iliac crest or rib.