The author constantly found in the obstructed nasal septa, in the middle third of the vomer, an anatomic formation not described as such in the classical treatises of anatomy and recent rhinologic works. It is a bony formation, a quadrangular pyramid, with its base as a rule on the left aspect of the vomer and its tip towards the posterior third of the inferior concha. The four facets of the pyramid face anteriorly, superiorly, posteriorly and inferiorly. This formation is encountered in 33% of individuals without rhinologic affections and in more than 40% of those with chronic obstructive rhinologic distress. In septal resections, surgery is inefficient when this formation is not removed since respiration through the nose continues to be impeded and a reintervention must be performed, when it is found in 60% of cases.

Humans↗

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[A new indication for pharyngoplasty with costal cartilage graft in epipharyngeal ozena].

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Cartilage↗