Every portion of the nose plays an important role in the functioning of the nose. The nasal septum fulfils this role by lending its role in the function and shape of the nose. In case of deviated septum, the appearance of the nose becomes deviated. Septal correction is used in these cases to correct the deviation. This process of correcting septal deviation is known as septoplasty. There are various techniques that are used in septum correction; these include bony batten grafting, septal extension grafting, cutting and suture techniques. However, these methods are only very effective in patients with deviated noses. However, in some cases, the deviation could be too much for normal septoplasty to handle it and therefore the process of Extracorporeal Septo Rhinoplasty is used for severely deviated septum. Too deviated septum not only causes a cosmetic deformity, but can lead to many functional difficulties like problem in breathing too. Crooked nose, because of severely deviated septum, can be caused because of trauma especially sports injuries and accidents to the nose, previous surgeries that weakens the dorsal septum and congenital dysfunction. This can lead to the blockage of one or both airways.
Extreme deviations in the septum are very difficult to correct and simple septoplasty fails to fit the bill. Extracorporeal septoplasty was first suggested by Gubisch in the year 1995. Since then this approach has been studied and practiced extensively. According to Gubisch, the effective way of treating the deviated septum is to remove it completely and straighten it on the outside and then place it inside the nose. The fixation is done by drilling a hole in the nasal bones and nasal spine and then suturing the newly modified septum inside the nose. This is a highly specialized technique and requires a lot of training therefore for Extracorporeal Septo Rhinoplasty for Crooked Nose, you should only go to a highly trained surgeon.
A trained surgeon is very important, because of the weakening of the dorsal septum can make it difficult to make sure that the septum is stabilized and further problems like saddle nose, more deviation, and irregular appearance under the thick skin of the upper portion of the nose. Extracorporeal Septo Rhinoplasty for Crooked Nose is a complex Rhinoplasty and spreader grafts are generally used for stabilization of the nasal valve.
Complex Rhinoplasty like the Extracorporeal Septo Rhinoplasty for Crooked Nose has to be carefully planned by the surgeon. Many other deformities like the saddle nose, nasal hump, and tip correction can also be corrected at the same time. Various techniques are used along with the extracorporeal septoplasty are used to make sure that the aesthetic appearance of the nose is also preserved. The surgeon will therefore observe you physical for the extent of deviation. Methods like nasal endoscopy, x rays and CT scans are used to get a clearer picture. Details of the previous surgeries, how the trauma occurred and present medical condition are also kept in mind.
The complex Rhinoplasty for Extracorporeal Septo Rhinoplasty for Crooked Nose is generally done under local anaesthesia and an open approach is preferred. The septal cartilage is taken out but the dorsal strip is not touched. Then using wedge excisions, cartilage splinting, spreader and batten grafting are using to construct a strong and straight nasal septum. Any other changes that are to be made are done at this stage. The septum is then fixed back inside the nose and suturing is used to provide extra stability.
Extracorporeal Septo Rhinoplasty for Crooked Nose is an excellent complex Rhinoplasty technique to correct the persistent and previously unresolved nasal obstruction that can be caused because of severely deviated septum. With the extracorporeal septoplasty technique, the aesthetic results that are achieved are much better than normal septoplasty and rhinoplasty combination.