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Relationship of the posterior septal angle to the anterior nasal spine in the Caucasian nasal septum

Published online by Cambridge University Press:  01 March 2019

S Goh ,
D Karamchandani  and
S Anari
S Goh*
Affiliation:
Department of Otorhinolaryngology, Heartlands Hospital, Birmingham, UK
D Karamchandani
Affiliation:
Department of Otorhinolaryngology, Heartlands Hospital, Birmingham, UK
S Anari
Affiliation:
Department of Otorhinolaryngology, Heartlands Hospital, Birmingham, UK
*
Author for correspondence: Miss Samantha Goh, Department of Otorhinolaryngology, Heartlands Hospital, Heart of England NHS Foundation Trust, Bordesley Green East, Birmingham B9 5SS, UK E-mail: sam_jsg@hotmail.com
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Abstract

Objective

This study aimed to determine the distance between the most anterior part of the anterior nasal spine and the posterior septal angle.

Methods

Sinus computed tomography images from February to April 2016 were retrospectively analysed. Scans from adult Caucasians were included. Those with evidence of previous surgery, large slices or poor quality were excluded. The distance between the posterior septal angle and the most anterior part of the anterior nasal spine was measured digitally by two independent raters.

Results

Of 122 scans, 100 met the inclusion criteria (49 males and 51 females; mean age of 52.5 years). The mean distance measured was 5.13 mm (standard deviation = 1.24 mm, range = 1.85–8.00 mm). Measurements between male and female patients were not significantly different (t=0.450, p=0.654, 95 per cent confidence interval = -0.382 to 0.606).

Conclusion

There is variability in the distance between the anterior nasal spine and the posterior septal angle. Surgeons should observe this relationship intra-operatively to avoid instability and unintended aesthetic changes.

Keywords

RhinoplastySeptal Nasal Cartilage
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 3 , March 2019 , pp. 224 - 226
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Miss S Goh takes responsibility for the integrity of the content of the paper

References

1Killian, G, Foster, EE. The submucous window resection of the nasal septum. Ann Otol Rhinol Laryngol 1905;14:363–93Google Scholar
2Paul, N, Messenger, BS, Yuan, FL, Kwon, DI, Kim, CH, Inman, JC. A model to estimate L-strut strength with an emphasis on thickness. JAMA Facial Plast Surg 2016;18:269–76Google Scholar
3Fattahi, T, Quereshy, F. Septoplasty: thoughts and considerations. J Oral Maxillofac Surg 2011;69:e528–32Google Scholar
4Wu, PS, Hamilton, GS. Extracorporeal septoplasty: external and endonasal techniques. Facial Plast Surg 2016;32:22–8Google Scholar
5Lee, JS, Lee, DC, Ha, DH, Kim, SW, Cho, DW. Redefining the septal L-strut to prevent collapse. PLoS One 2016;11:e0153056Google Scholar
6Akduman, D, Haksever, M, Yanilmaz, M. Repositioning of the caudal septal dislocation with notching and suturing the cartilage to the nasal spine. Eur Arch Otorhinolaryngol 2014;271:81–5Google Scholar