de la Fuente A, Martín del Yerro J L
Aesthetic Plast Surg. 1995 Sep-Oct;19(5):455-61. doi: 10.1007/BF00453880.
Septal deviation is the rule more than the exception in most cases of rhinoplasty. When deviation of the septum precludes a good rhinoplasty's functional and aesthetic results because of impairment of nasal air flow, residual deviation, or inadequate medialitation of the lateral nasal wall, a modified submucous resection of the deviated part is certainly indicated. If possible, a dorsocaudal L-strut of cartilage should be maintained, but, if necessary, it can be resected partially or totally and the support of this area reestablished by dorsal and columellar cartilage grafts. The authors recommend a bilateral mucoperichondrial-mucoperiosteal dissection of the septum from its caudal edge to the most posterior deviated part, because it provides easy septal resection in a good surgical field.
在大多数隆鼻手术病例中，鼻中隔偏曲是常见情况而非例外。当鼻中隔偏曲由于鼻气流受损、残余偏曲或鼻侧壁内侧化不足而妨碍了良好的隆鼻手术功能和美学效果时，当然需要对偏曲部分进行改良的黏膜下切除术。如有可能，应保留背侧尾侧的L形软骨支柱，但如有必要，可部分或全部切除，并通过背侧和鼻小柱软骨移植重建该区域的支撑。作者建议从鼻中隔的尾缘至最偏后的部分进行双侧鼻中隔黏膜软骨膜-黏膜骨膜剥离，因为这样能在良好的手术视野中便于进行鼻中隔切除。
