The skin wounds are drawn together by suture, as shown in [Fig. 501].
Fig. 500. Fig. 501.
Dieffenbach Method.
CORRECTION OF NASAL DEVIATION
In this deformity the nose is bent or twisted to one side. The cause is usually traumatism, but may be congenital.
The interior cartilaginous septum is usually found malformed on one or both sides.
To correct the deviation, the redundant cartilaginous septum is cut or sawed away to clear both nares and the anterior nasal vestibule. After this has been done the nasal attachments are freed subcutaneously, until the nasal organ is freely movable from its attachment to the superior maxillary bones.
The nose is now placed in the position desired, somewhat overdoing the correction, and is held in place by gauze packs in the nares or by Roberts’ spear-pointed pins thrust through the lateral skin of the nose at either side and through the septum, as shown in [Fig. 339], p. 365.
The use of the pins placed as shown allows of free drainage to the nares and gives little inconvenience to the patient.