FIBROPERICHONDRECTOMY FOR THE TREATMENT OF INVETERATE NASAL-SEPTUM DEVIATION

Conventional surgical techniques used for the treatment of nasal devia tions do not avoid recurrences, especially in inveterate forms, The pr imary alteration of the nasal osteocartilaginous framework would progr essively increase and, therefore, could cause changes of structures in itially not involved by the trauma, such as alar or upper lateral cart ilage. According to our analysis, it is supposed that the septal peric hondrium is capable of restoring its previous position, This happens e specially in the inveterate forms of deviation and even when the septa l straightening has already been done. The anatomopathological study p oints out the constant presence of the fibrous thickening of the peric hondrium at the same level as the concave portion of septum, and this finding represents the anatomical expression of the scarring reaction after the traumatic event, The fibroperichondrium is excised as radica lly as possible for the entire bilateral surface of the chondral septu m, Good results by extramucosal perichondrectomy, associated with more conventional procedures of septum correction, in a series of 20 selec ted patients has encouraged reporting of the technique.