[An analysis of the late results in the surgical treatment of patients with complex combined nasal deformities].

Analysis of late results showed that satisfactory and unsatisfactory results are most frequent (70%) in patients with combined deformations of the nose. The principal causes of recurring deformations after rhinoplasty are a) absence of adequate internal fixation of both the dislocated pyramid and the mobilized nasal septum; b) omitting the mobilization of the bone part of the septum in case of its deformation; c) unjustified wide use of methods of mobilization of crossing incisions on the cartilaginous part of the septum; d) no correction of thick porous skin at the end part of the nose; e) use of costal allocartilages in slight retractions of the cartilaginous part of the ridge of the nose which are contoured at the interface, dislocated, and deformed; f) use of costal allocartilages as rafters in flattened noses makes the end part of the nose thickened and little mobile; and g) use of collodion dressing does not meet the requirements of fixation, particularly so in the bone part of the ridge. Hence, analysis of late results showed that some of the routinely used methods should be revised.