Abstract:ObjectiveTo analyze the treatment of posttraumatic nasal deformity by endoscopic autologous cartilage (nasal septal cartilage, ear cartilage, costal cartilage) rhinoplasty with simultaneous deviation correction of nasal septum.MethodsFrom 2017 to 2018, 20 patients with old traumatic nasal deformities were admitted in our department. Under general anesthesia, the inverted Vshaped incision was used to loosen and remove the deformed nasal septal cartilage and bone, and the septal scaffold was reestablished with individually designed autologous cartilage (nasal septal cartilage, ear cartilage or costal cartilage) combined with remodeling of nasal tip and nasal dorsum as well as the external nose.ResultsAll the patients had been followed up for 3 to 12 months postoperatively. Compared with simple closed reduction of nasal bone fracture or endoscopic correction of nasal septum deviation, the endoscopic autologous cartilage rhinoplasty with simultaneous deviation correction of nasal septum had better effect in improving nasal ventilation and nasal contour without more complications, which reduced the number and cost of operations.ConclusionWith advantages of unification of aesthetics and function by synchronous correction of nasal deformities and improvement of nasal ventilation, as well as reducing the number and cost of operations, endoscopic autologous cartilage rhinoplasty with simultaneous deviation correction of nasal septum is highly feasible for the treatment of posttraumatic nasal deformity.
