Septal considerations in revision rhinoplasty.

Abnormalities of the nasal septum subsequent to septorhinoplasty include structural deficits connected with incorrect excision of the cartilaginous portion, the persistence of deviation to varying degrees, and deformity of the supratip region. In the course of revision, the correction of septal anomalies constitutes an indispensable preliminary stage upon which the end result depends. A straight, sturdy, and flexible supporting septal structure is, in fact, an essential prerequisite if satisfactory results are to be obtained. The authors describe some techniques used to achieve this objective and provide guidelines for their selection. The septum is also involved in the repair strategy of revision operations. It constitutes a primary source of material for structural grafts to reconstruct numerous components of the nasal pyramid.