Surgical Correction of Caudal Septal Dislocation in Septoplasty and Septorhinoplasty
Iraqi Postgraduate Medical Journal,
2021, Volume 20, Issue 1, Pages 17-26
Several techniques and maneuvers for surgical correction of caudal septal dislocation have been
mentioned in the literature nevertheless the subject has still bearing different opinions and preferences
on which approach to be applied.
AIM OF STUDY:
to assess different surgical approaches and techniques that are used in the management of caudal septal
PATIENTS AND METHOD:
A prospective, observational study was conducted on 50 patients from 10 January 2018 to August 2018
with age range from (18-39 years) who underwent nasal surgery (septoplasty, septorhinoplasty). The
study conducted in Center of Otolaryngology- Head and Neck surgery/ Sulaymaniyah Teaching
Hospital and Azmar private hospital. Preoperative assessment data were gathered & compared with
postoperative assessment data after 3-6 months follow up. The data was analyzed statistically using
SPSS version 25.
patients included in the study were 64% males and 36% females, 22% went through septoplasty while
78% went through septorhinoplasty. For the techniques that used in surgical correction of the caudal
dislocation (wedge resection, batten graft and L-strut graft) the results were significant postoperatively
while for scoring technique the results were insignificant postoperatively .
There are different techniques used in surgical correction of caudal septal dislocation with good results
and according to each patient. The use of L-strut graft technique whenever it needed especially in
severe deviation .
- Surowitz J, Lee MK, Most SP. Anterior septal reconstruction for treatment of severe caudal septal deviation: clinical severity and outcomes. Otolaryngology–Head and Neck Surgery. 2015 ;153:27-33.
- Williams CT, Sherris DA. Caudal septal reconstruction for severe deviation: a modification to respect the valve area. Ann Otolaryngology Rhinol. 2016;3:1097.
- Gunter JP, Rohrich RJ. Management of the deviated nose. The importance of septal reconstruction. Clinics in plastic surgery. 1988;15:43-55.
- Metzenbaum M. Replacement of the lower end of the dislocated septal cartilage versus submucous resection of the dislocated end of the septal cartilage. Archives of Otolaryngology. 1929;9:282-96.
- Metzinger SE, Boyce RG, Rigby PL, Joseph JJ, Anderson JR. Ethmoid bone sandwich grafting for caudal septal defects. Archives of Otolaryngology–Head & Neck Surgery. 1994;120:1121-25.
- Ellis MS. Suture technique for caudal septal deviations. The Laryngoscope. 1980;90(9):1510-2.
- Kridel RW, Scott BA, Foda HM. The tongue-in-groove technique in septorhinoplasty: a 10-year experience. Archives of facial plastic surgery. 1999;1:246-56.
- DINGMAN RO. Correction of nasal deformities due to defects of the septum. Plastic and Reconstructive Surgery. 1956;18:291-304.
- DUPONT C, CLOUTIER GE, PREVOST Y. Autogenous vomer bone graft for permanent correction of the cartilaginous septal deviations. Plastic and reconstructive surgery. 1966;38:243-7.
10. Goode RL. Nasal septal surgery. In: Krause CJ, Mangat DS, Pastoreck N, editors. Aesthetic facial surgery. Philadelphia: JB Lippincott Co.; 1991: 133–60.
11. KING ED, ASHLEY FL. The correction of the internally and externally deviated nose. Plastic and Reconstructive Surgery. 1952;10:116-20.
12. Gubisch W, Constantinescu MA. Refinements in extracorporeal septoplasty. Plastic and reconstructive surgery. 1999;104:1131-39.
13. Gubisch W. Extracorporeal septoplasty for the markedly deviated septum. Archives of facial plastic surgery. 2005 ;7:218-26.
14. Haq SN, Ahmed A, Ayub Z. CORRECTION OF CAUDAL SEPTAL DEVIATIONS VIA CLOSED RHINOPLASTY APPROACH. Pakistan Armed Forces Medical Journal. 2016;66:909-12.
15. Garcia LB, Oliveira PW, Vidigal TD, Suguri VD, Santos RD, Gregório LC. Caudal septoplasty: efficacy of a surgical technique-preliminary report. Brazilian journal of otorhinolaryngology. 2011 ;77:178-84.
16. Lipan MJ, Most SP. Development of a severity classification system for subjective nasal obstruction. JAMA facial plastic surgery. 2013;15:358-61.
17. Shah A, Pfaff M, Kinsman G, Steinbacher DM. Alar-columellar and lateral nostril changes following tongue-in-groove rhinoplasty. Aesthetic plastic surgery. 2015;39:191-8.
18. 18Lee JE, Jung HJ, Chang M, Jin HR. A novel wedge technique to correct the curved deviation of the cartilaginous nasal septum. Auris Nasus Larynx. 2014;41:190-4.
19. Demirbilek N, Evren C, Elbistanlı MS, Altun U, Günay SS. Two-level septocolumellar suture technique for correction of septal caudal dislocation. Brazilian journal of otorhinolaryngology. 2016;82:403-7.
20. André RF, Vuyk HD. Reconstruction of dorsal and/or caudal nasal septum deformities with septal battens or by septal replacement: an overview and comparison of techniques. The Laryngoscope. 2006 ;116:1668-73.
21. Constantine FC, Ahmad J, Geissler P, Rohrich RJ. Simplifying the management of caudal septal deviation in rhinoplasty. Plastic and reconstructive surgery. 2014;134:379e-88e.
22. Akduman D, Haksever M, Yanilmaz M. Repositioning of the caudal septal dislocations with notching and suturing the cartilage to the nasal spine. European Archives of Oto-Rhino-Laryngology. 2014 ;271:81-5.
23. Chung YS, Seol JH, Choi JM, Shin DH, Kim YW, Cho JH, Kim JK. How to resolve the caudal septal deviation? clinical outcomes after septoplasty with bony batten grafting. The Laryngoscope. 2014 ;124:1771-76.
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