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A major disadvantage of the vomer flap surgery is the varying size and visibility of the vomer in different patients. If the vomer is not visible or too small to cover the cleft, the procedure cannot be done. Another disadvantage of the use of the vomer flap in the oral cavity is that the vomer tissue does not aesthetically match the oral mucosa.
Septal nasal cartilage (ie, quandrangular cartilage) Vomer bone; The lowest part of the septum is a narrow strip of bone that projects from the maxilla and the palatine bones, and is the length of the septum. This strip of bone is called the maxillary crest; it articulates in front with the septal nasal cartilage, and at the back with the vomer ...
Nasal septum deviation is the most common cause of nasal obstruction. [7] A history of trauma to the nose is often present including trauma from the process of birth or microfractures. [ 7 ] A medical professional, such as an otorhinolaryngologist (ears, nose, and throat doctor), typically makes the diagnosis after taking a thorough history ...
The nasal root is above the bridge and below the glabella, forming an indentation known as the nasion at the frontonasal suture where the frontal bone meets the nasal bones. [16] The nasal dorsum also known as the nasal ridge is the border between the root and the tip of the nose, which in profile can be variously shaped. [17]
The septal nasal cartilage fits in a place between the perpendicular plate of the ethmoid and vomer bones while also being covered by an internal mucous membrane. The superior portion of the septal nasal cartilage attaches to the nasal bones, while the inferior portion attaches to the alar cartilages via fibrous tissues.
Septoplasty (Latin: saeptum, "septum" + Ancient Greek: πλάσσειν, romanized: plassein, "to shape"), or alternatively submucous septal resection and septal reconstruction, [1] is a corrective surgical procedure done to straighten a deviated nasal septum – the nasal septum being the partition between the two nasal cavities. [2]
The anterior border articulates with the spine of the frontal bone and the crest of the nasal bones. The posterior border articulates by its upper half with the sphenoidal crest, by its lower with the vomer. The inferior border is thicker than the posterior, and serves for the attachment of the septal nasal cartilage of the nose.
For a mucosa defect greater than 15 mm in diameter, the indicated correction is a superiorly based "trap door" septal mucosal flap, grafted to the roof of the nasal septum. (c) Nasal tip defect. The width of the human nasal-tip ranges 20–30 mm; the average width of the nasal tip, measured between the two alar lobules, is approximately 25 mm.