Caudal septal deviation surgical techniques

Abstract

Background: Caudal septal repair is hard to confront in otolaryngology and plastic surgeon, due to cartilage memory. It causes nasal obstruction or esthetical problems to the nasal base and columella. Although different modalities have been described for the treatment of this abnormality, these techniques not only improve the function but also preserve or improve the appearance of the nose. Objective: The objective was to discuss the different surgical conservative procedures that can be used to treat alterations of the caudal septum and change the position of the cartilage in the midline and find which is the best. Patients and Methods: A descriptive study was conducted on 40 patients who aged 20–40 years, had attended the Otolaryngology Outpatient Clinic in Al Karama Teaching Hospital, Baghdad, Iraq, between October 2016 and March 2020, and with a history of obstructed nose; conservative nasal septal surgery was done for them depending on the severity. Results: Regarding the result of the type of surgery, the patients were satisfied with their esthetic and functional perfection; patients with preoperative nasal obstruction reported improved breathing. In scoring technique with (NOSE) score pre and postoparative results were 58.21 and 22.66, in reshaping technique were 60.66 and 17.21 as a pre and postoparative results and in batten graft the results were 62.34 and 20.26 as a pre and postoparative results alternatively. Reshaping and batten graft techniques are better results than the scoring technique. Conclusion: The study outcomes that the approaches for improvement of caudal septal deviation are safe and effective. The approach of surgery will depend on the severity of the deviation.