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,
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.
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.
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