Septum question.

When the septum is harvested during a rhinoplasty and the L strut is left... what keeps is from moving around freely because during the harvest it becomes loose and removable? Does it root back again?

Doctor Answers 4


The septum is not usually completely mobilized during the surgery.  If you can imagine the L, think of the two ends of the L still firmly attached to the nasal bones and the nasal spine. 

Best of luck,

Dr Rodman

Houston Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

Movement of Septum after Harvesting Cartilage Grafts

The septum is not necessarily mobilized when grafts are harvested. If it is moved it can be fixed by placing a suture attaching it to the nasal spine. It is also connected to the nasal bones, and the upper lateral and tip cartilages.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

septoplasty procedure

When performing a septoplasty in our practice, we rarely remove any cartilage since majority of obstructions are usually bone, and that portion is removed in the back of the nose.  When performing a cartilage harvesting for rhinoplasty procedure, we also try to remove the most inferior portion of the cartilage which is used for grafting purposes.  Only in a rare case to we leave  a total L strut, even then it does not flop around with  breathing.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 126 reviews

Septum question.

Hello adam1992 - Thanks for your question. A septoplasty can be performed with out creating mobility. If the L- strut gets disconnected from the nasal spine then it becomes mobile. Otherwise scar after closure holds things in place. 

Take care, 

Dr. Shah

Manish H. Shah, MD, FACS
Denver Plastic Surgeon
4.7 out of 5 stars 45 reviews

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