I.P. Pavlov Russian Medical Biological HeraldI.P. Pavlov Russian Medical Biological Herald0204-34752500-2546Eco-Vector491610.17816/PAVLOVJ20121112-116Research ArticleRHINOSEPTOPLASTY FOR COMBINED POSTTRAUMATIC DEFORMITY OF NOSE SUCH AS RHINOSCOLIOSIS AND RHINOLORDOSIS ASSOCIATED WITH NASAL SEPTUM DEFORMITY1503201220111211628102016Copyright © 2012, Medvedev V.A.2012In the article the Author presents his personal method of rhinoplasty when combination of rhinoscoliosis and rhinolordosis associated with nasal septum deformity. The particularity of the technique is in the set of osteotomies wich are rerformed through the 4 narrow tunnels joining one another the point of nasion. The fifth tunnel to create a pocket for the cartilage graft doesn’t communicate all others to prevent any further graft displacement. Four-tunnels osteotomy could be regarded as an alternative technigue in rhinoscoliosis along with transcutaneous osteotomy and traditional osteotomy through the intercartilage incisions.rinoseptoplastikatechnologyrinoskoliozrinolordozcrooked nasal septum osteotomy and treatmentриносептопластикатехнологияриносколиозринолордозискривление перегородки носаостеотомиялечение[Косметические операции лица / Н.М. Михельсон [и др.]. – М., 1965. – 97 с.][Пакович Г.И. Деформации наружного носа и методы их устранения / Г.И. Пакович // Стоматология. – 1960. – № 3. – С. 36-39.][Пшениснов К.П. Ринопластика III: осложнения в эстетической хирургии носа и вторичная ринопластика / К.П. Пшениснов // Избранные вопросы пластической хирургии. – 2001. – Т. 1, №6 – С. 5.][Тапия-Фернандес В. Техника открытой ринопластики при асимметрии внутренних опорных структур кончика носа (клинический опыт) / В. Тапия-Фернандес // Эстетическая медицина. – 2004. – Т. 3, №1. – C. 35.][Gruber R. Rhinoplasty and open rhinoplasty / R. Gruber / Compications and problems in aesthetic plastic surgery / ed.: G.C. Peck. – NY: Gower Med. Pub., 1992. – P. 2.2-2.29.][Nolst Trenite G.J. Trauma reduction in rhinoplastic surgery / G.J. Nolst Trenite // Rhinology. – 1991. – Vol. 29 (Suppl.11). – P. 111-116.][Rees T.D. Postoperative complications and considerations / T.D. Rees // Aesthetic plastic surgery / ed.: T.D. Rees. – Philadelphia: Saunders Co., 1980. – P. 337-386.][Teichgraeber J.F. Nasal surgery complications / J.F. Teichgraeber // 17th Dallas rhinoplasty symposium. – Dallas, 2000. – P. 277-280.]