Revision by Caudal Septal Replacement, Is This Right For My Complicated Case?

Rib cartilage can be a great source of structural support in reconstructive cases like yours where there is inadequate septal cartilage to work with. Caudal septal replacement is an excellent technique to rebuild a deviated nose. Without seeing or examining your nose it's hard to say if this is the best treatment in your specific case, though. I prefer avoiding foreign implants such as mersilene in the nose.If rib cartilage is being harvested I would expect there to be plenty... more

I'm sorry you have had such a protracted difficult coarse of nasal reconstruction. Normally we ask for pictures to help us evaluate patient's noses, but your case is so difficult that I would not feel comfortable discussing your problem or treatment alternatives without examining you and reviewing your previous treatment records.

Your case is indeed complicated. Pictures would help to asses how deviated your nose is. No nose is perfectly symmetric, and your expectations should be adjusted accordingly. Rib cartilage is a good choice for septal replacement, however from your description it is hard to know if the whole septum needs to be replaced. You may need spreader grafts as well to straighten the nose. As far a Merceline mesh, It is a very old material, and I would remove it. Because of the... more