caa a22 4500 388086157 CHVBK 20180307125230.0 cr unu---uuuuu 161130e199905 xx s 000 0 eng 10.1017/S002221510014410X doi S002221510014410X pii (NATIONALLICENCE)cambridge-10.1017/S002221510014410X Jones N. S. Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Nottingham, UK. Principles for correcting the septum in septorhinoplasty: two-point fixation [Elektronische Daten] [N. S. Jones] This article describes the principles which enable a bent septum to be corrected without the loss of tip or supratip support. These principles centre on the need for two points of fixation in order to provide adequate stability for the septal cartilage. These points include the maxillary spine, the vertical plate of the ethmoid bone (at least 4 mm in continuity with the septal cartilage), the vomer, the maxillary crest or suspension from the upper lateral cartilages. A columella pocket offers additional support but cannot be regarded as a primary anchoring point. An adequate height from the maxillary spine to the tip (approximately 28 mm) and dorsal length (24 mm) of cartilage are also needed to support the nasal dorsum. The main strategy for correcting a septal bend which is apparent externally, or a supratip depression is described and centres on the use of cartilage grafts to disguise any assymmetry. Copyright © JLO (1984) Limited 1999 Nasal septum nationallicence Rhinoplasty nationallicence The Journal of Laryngology & Otology Cambridge University Press 113/5(1999-05), 405-412 0022-2151 113:5<405 1999 113 JLO https://doi.org/10.1017/S002221510014410X text/html Onlinezugriff via DOI 1 review-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S002221510014410X text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Jones N. S. Department of Otorhinolaryngology Head and Neck Surgery, University Hospital, Nottingham, UK NATIONALLICENCE 773 0- The Journal of Laryngology & Otology Cambridge University Press 113/5(1999-05), 405-412 0022-2151 113:5<405 1999 113 JLO CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge