Joanne Rimmer, FRCS (ORL-HNS)
Specialist Registrar in Otolaryngology
39 Handforth Road
London SW9 0LL
jrimmer@doctors.org.uk
0044 207 967 0999

Hesham Saleh, FRCS (ORL-HNS)
Consultant Rhinologist & Facial Plastic Surgeon
Department of Otolaryngology and Head & Neck Surgery
Charing Cross Hospital
Fulham Palace Road
London W6 8RF
h.saleh@imperial.ac.uk

Conflict of interest
The authors have nothing to disclose.

ABSTRACT
Correction of the severely twisted nose is one of the greatest challenges in septorhinoplasty. Both functional and aesthetic problems arise, and standard septoplasty and/or rhinoplasty techniques are rarely successful for such severe deviations'. We describe our technique for extracorporeal septoplasty, which may or may not be combined with rhinoplasty techniques. We use polydioxanone foil, an absorbable material, to support the reconstructed septal cartilage, and discuss the evidence for its use.