ABSTRACT
Background: Post-traumatic nasal septal collapse results in flat, broad, non-projecting nose
due to mid-vault collapse. These patients may have airway obstruction due to poorly
supported internal valve. Traditional techniques like ‘cantilever graft technique’
or conventional ‘L-graft technique’ produce a rigid lobule as the single unit framework
extends to the tip. These grafts also lack in internal valve support. Materials and Methods: Twelve patients with post-traumatic nasal septal collapse were treated with three
component cartilage framework technique in the past 3 years. The framework was reconstructed
in three components-septal, columellar and dorsal onlay; using costal cartilage. If
needed, upper lateral cartilage support grafts were also provided. Results: At 6 months’ follow-up, all 12 patients were satisfied with the outcome. The nasal
projection and dorsal definition were aesthetically pleasing, and there was free natural
movement of the lobular part of the nose. One graft was revised for further improvement
in outcome. Airway obstruction, when present was also relieved. Conclusion: This technique has distinct advantages over the conventional techniques as the framework
of separate components maintains pliability of the lobule, supports the internal valve
and offers good control of aesthetic needs.
KEY WORDS
Cartilage reconstruction - collapse - nasal deformity - rhinoplasty - septal - trauma
