The evaluation of various morphological aspects of septal cartilage-a cadaveric study: a 6 months observation study in KLEs, Dr. Prabhakar kore hospital, Belagavi

Authors

  • Indresh Chandra Department of ENT and Head and Neck Surgery, Jawaharlal Nehru Medical College, Belagavi, Karnataka
  • Shama Bellad Department of ENT and Head and Neck Surgery, Jawaharlal Nehru Medical College, Belagavi, Karnataka

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20204207

Keywords:

Nasal septal cartilage, Area measurements, Rhinoplasty

Abstract

The nasal septum provides support for the portion of cartilaginous nasal dorsum, and it is responsible for determining the projection of the nasal tip. Septal cartilage plays an important role as a donor graft material in modern rhinoplasty. An anatomical study was performed on 10 adult cadavers. The excised septal cartilage was placed on grid paper; digital images were taken; all septal cartilage was divided into nine equivalent quadrants; and quantitative measurements for length, height, and area were calculated and compared. The average length of the septum was 35.8 mm, while the average height was 25.9 mm. The average septal area was 679.7 mm2. The septal thickness mean values were analysed in nine quadrants, ranging from 1.21 to 2.08 mm. Specifically, the central and cranial areas were thickest, and the area corresponding to the L-strut was thinnest. Anatomical variations of the thickness of septal cartilage excisions were found to be statistically significant, and these differences play an important role in the proper selection of the septal grafts.

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Author Biographies

Indresh Chandra, Department of ENT and Head and Neck Surgery, Jawaharlal Nehru Medical College, Belagavi, Karnataka

Postgraduate , Department of ENT and HNS

Shama Bellad, Department of ENT and Head and Neck Surgery, Jawaharlal Nehru Medical College, Belagavi, Karnataka

Assistant professor , Department of ENT and HNS

References

Boenisch M. Reconstruction of Nasal septum PhD University of PÉCS. Facul Medic. 2007;1-87.

Tardy M. Tardy ME, JR. Rhinoplasty the art and the science, W.B. Saunders Company. In: Rhinoplast the art and science. Saunders.

Lane AP. Nasal anatomy and physiology. Facial Plast Surg Clin North Am. 2004;12(4):387-95.

Sood V. Surgical anatomy and physiology of nose. In: Corrective rhinoplasty. 2nd ed. new delhi. 8-21.

Egbert H. Huizing, MD P, John A.M. de Groot, MD P. Functional Reconstructive Nasal Surgery. 2nd ed. stuttgart: thieme. 2015:2-49.

Diniz V, Alonso N, Figueredo A, Ribeiro EB, Rafael DR, Valber J. The role of septal cartilage in rhinoplasty: Cadaveric analysis and assessment of graft selection. Aesthetic Surg J. 2011;31(8):891-6.

Bhattacharya S. Jacques Joseph: Father of modern aesthetic surgery. Indian J Plast Surg. 2008;41:S3-8.

Lovice DB, Mingrone MD, Toriumi DM. Grafts and implants in rhinoplasty and nasal reconstruction. Otolaryngol Clin North Am. 1999;32(1):113-41.

Keefe MA, Cupp CL. The septum in rhinoplasty. Otolaryngol Clin North Am. 1999;32(1):15-36.

Hwang K, Huan F, Kim DJ. Mapping thickness of nasal septal cartilage. J Craniofac Surg. 2010; 21(1):243-4.

Mowlavi A, Masouem S, Kalkanis J, Guyuron B. Septal cartilage defined: Implications for nasal dynamics and rhinoplasty. Plast Reconstr Surg. 2006;117(7):2171-4

Lee JS, Lee DC, Ha DH, Kim SW, Cho DW. Redefining the septal L-strut in septal surgery. PLo O. 2015;10(3):1-9.

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Published

2020-09-23

How to Cite

Chandra, I., & Bellad, S. (2020). The evaluation of various morphological aspects of septal cartilage-a cadaveric study: a 6 months observation study in KLEs, Dr. Prabhakar kore hospital, Belagavi. International Journal of Otorhinolaryngology and Head and Neck Surgery, 6(10), 1932–1936. https://doi.org/10.18203/issn.2454-5929.ijohns20204207

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Section

Short Communication