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Issue: Vol. 51 No. 8 (2026): JOURNAL OF MILITARY PHARMACO-MEDICINE No.8 - 2026
Section: Articles
DOI: 10.56535/jmpm.v51i8.2058
Date Published: 28/08/2026
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Nguyen, A. T., Nguyen, B. K., & Nguyen, D. V. (2026). A CLINICAL CASE REPORT: SEPTAL BONE UTILISATION IN THE RECONSTRUCTION OF A SEVERELY DEVIATED NASAL PYRAMID. Journal of Military Pharmaco-medicine, 51(8), 244-251. https://doi.org/10.56535/jmpm.v51i8.2058

A CLINICAL CASE REPORT: SEPTAL BONE UTILISATION IN THE RECONSTRUCTION OF A SEVERELY DEVIATED NASAL PYRAMID

Anh Tuan Nguyen1,2, , Ba Khoa Nguyen1, Duc Vuong Nguyen3,
1 Ear Nose Throat Hospital of Ho Chi Minh City
2 CanTho University of Medicine and Pharmacy
3 University of Medicine and Pharmacy at Ho Chi Minh City

Main Article Content

Abstract

A deviated nasal pyramid represents a significant challenge in rhinoplasty, requiring the surgeon to comprehensively address both aesthetic deformities and functional airway impairment. We report the case of a 26-year-old male patient who presented with axial deviation of the nasal pyramid and severe left-sided nasal obstruction following a sports-related injury 14 years prior. Clinical examination and imaging studies revealed severe left-sided nasal pyramid deviation, left septal deviation, and bilateral inferior turbinate hypertrophy. The patient underwent comprehensive structural rhinoplasty with four simultaneous procedures: nasal osteotomies; septal reconstruction; dorsal augmentation with a Silastic implant; and inferior turbinate reduction. Notably, septal bone grafting was employed for septal reconstruction and stabilisation of the nasal pyramid axis. This multi-procedural approach resulted in restoration of aesthetic symmetry, significant improvement in nasal airflow, and long-term structural stability of the nasal pyramid.

Keywords

Deviated nasal pyramid, Nasal osteotomies, Septal reconstruction, Rhinoplasty, Inferior turbinate reduction

Article Details

References

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