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J Oral Maxillofac Surg. 2014 Jan;72(1):157-63. doi: 10.1016/j.joms.2013.07.032. Epub 2013 Sep 24.

Carpentering in septorhinoplasty: a novel technique to straighten the deviated nasal septum.

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  • 1Otorhinolaryngologist, Head and Neck Surgeon, Craniomaxillofacial Research Center, Azad University, Tehran, Iran.
  • 2Associate Professor, Craniomaxillofacial Research Center, Department of Oral and Maxillofacial Surgery, Buali Hospital, Azad University, Tehran, Iran.
  • 3Chief Resident, Craniomaxillofacial Research Center, Department of Oral and Maxillofacial Surgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Electronic address:
  • 4Otorhinolaryngologist, Head and Neck Surgeon, Private Practice, Tehran, Iran.


Septal deviation presents a considerable challenge in septorhinoplasty because it leads to functional and esthetic problems. This deformity may displace the nasal tip, disturb nasal valve patency, and affect the final outcomes of septorhinoplasty. This report describes an innovative technique that can be used in patients with C-shaped deviation of the septum in a cephalocaudal direction. Because the procedure is similar to carpentering, it was named a "carpenter spreader graft." In this technique, the deviated dorsal cartilage is separated and displaced to a new straightened position.

Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

[PubMed - indexed for MEDLINE]
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