[Two surgical approaches for treating post-traumatic external nasal deformity and nasal septal deviation]

To investigate the nasal functional reconstructive methods for post-traumatic external nasal deformity and nasal septal deviation, and to evaluate the efficacy of surgical treatment.

(1) Twelve patients with C-type external nasal deviation were choose undertaking L-shaped incision of the interface of left nasal septal skin and mucosa as well as bilateral inter-cartilaginous incision using endoscopy which named close group; (2) 5 patients with S-type and 10 patients with side-skew-type external nasal deviation patients were choose undertaking trans-columella inversed-V incision as well as bilateral infra-cartilaginous incision viewing directly which named open group. Both of the groups undertook nasal septal reconstruction surgery and rhinoplasty with autologous nasal septal cartilage grafts.

During the follow-up period, both groups were satisfied with the functional and aesthetic outcome, while with no recurrence of symptoms and complications. No significant differences were found between the two groups.

Autologous nasal septal cartilage and bone are the best filling grafts for cosmetic rhinoplasty. Rhinoplasty with simultaneous nasal septum surgery can reconstruct nasal function and appearance.