METHOD OF REPOSITION AND FIXATION OF NASAL SEPTUM CARTILAGE IN CASE OF ITS DISLOCATION IN COMBINATION WITH EXTERNAL TRAUMATIC DEFORMITY OF NOSE Russian patent published in 2013 - IPC A61B17/24 

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, namely to maxillofacial surgery and otolaryngology. Method consists in exposure of caudal edge of nasal septum, separation of mucoperichondrial flap, excision of mucoperichondrial flap on concave side of cartilage, exposure of premaxilla region, excision of cartilage from perpendicular plate of ethmoid bone, ablation of cartilage strip along upper edge of septum, introduction of caudal edge of septum into cut between medial pedicles of alar cartilages and its fixation by sutures. Complete mobilisation of nasal pyramid is performed by its two-sided paramedical, lateral and transverse osteotomy. After that, skin is punctured with needles from lateral sides of dorsum of nose clivi, and ends of atraumatic suture material threads are passed into nasal cavity through slots of bone pyramid base osteotomy. Upper and lower edges of mobilised quadrangular cartilage are sewn with said threads. After bringing threads outside, nasal septum is reduced by their many-sided tightening and stabilised by fixation to plaster splint.

EFFECT: application of claimed invention makes it possible to ensure reliable intra-operation fixation of reduced cartilage of nasal cavity, recover nose aerodynamics, prevent deformity recurrence, eliminate cosmetic defect, provide possibility of realising active control over state of nasal septum in the nearest post-operative period.

3 dwg, 1 ex