[Surgical treatment methods in combined nasal deformities]
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Updated: Nov 1, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Abstract:
The paper presents the procedure of surgical correction of the twisted nose, with high humped ridge of the nose, in particular. Inferior resection of the segment from the cartilage of the nasal septum and cross-lateral osteotomy are followed by manual impression of the ridge. Mobilized bone clivi are pushed inside, osteochondral part of nasal pyramid moves backwards under the base of the maxillary frontal processes. The ridge of the nose moves backward till the frontal septum reaches the vomer. The wedged pyramid does not allow lateral dislocation of the ridge. Anteroinferior part of the septum is fixed by chrome suture to spina nasalis tissues. The procedure is superior to N. M. Mikhel'son's method because it provides more stable cosmetic results and makes it possible to correct humps of the nasal ridge.
