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When the septal deviation is more complex, or there is an associated deformity on the nasal external portion or nasal valve, a rhinosseptoplasty may be required to achieve adequate nasal breathing and we may request the expertise of our colleagues in Stanford's Facial Plastic Surgery division for some of these cases.
If the septal deviation is located in the more external portion of the septum, frequently a piece of a donor rib cartilage needs to be utilized in order to stabilize the nasal tip and preserve the external shape of the nose.