A new operative technique for deformations of the nose and septum

: Deviations of the external nasal pyramid, together with the nasal septum, are quite common but unfortunately, difficult to manage. We present our experience in 310 operations using the transfixion approach and repositioning of the nasal septum in the midline. This is done by scoring the septal cartilage in its basal attachment to the maxillary crest, providing a "swinging door" which can be sutured finally as desired. Our studies in dogs demonstrated that this technique does not cause long-term perforation of the nasal septum.