Fix a deviated septum during revision rhinoplasty?

Many of my Houston revision rhinoplasty patients present with trouble breathing after their previous rhinoplasty.  This may be due to a residual deviated septum.  Despite attempts at correcting a deviated septum with septoplasty, loss of correction or poor technique may lead to a residual deviation in the septum.  Revision septoplasty is commonly performed during revision rhinoplasty.  However, there are times when the septum is so deviated or bowed, a small piece of bone from the back of the septum, or PDS plate, may be needed to brace the cartilaginous septum.  Other times, the deviated portion may simply need to be removed and replaced with a straight piece of cartilage using cadaver rib or straight septal cartilage.  It is important to assess whether there is septal cartilage remaining when evaluating a patient for revision rhinoplasty.


Dr. Funk is a top revision rhinoplasty surgeon in Houston, Texas.

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