gms | German Medical Science


Figure 13: Rotation of the tip: Transfixion (a) and excision of a skin and cartilage wedge of the caudal septum (b). In most patients it will be necessary to shorten the lateral crura for a marked rotation (see Figures 11, 12). The columella may be anchored to the caudal cartilaginous septum in the desired position with an anchoring suture.