Perception of Caudal Septal Dislocation and Practices of Otolaryngologists in Saudi Arabia

Abstract

Introduction: The nasal septum is the internal part of the nose, which holds a vital role in maintaining the functional and structural integrity. Considering its anterior location, the caudal septum is subjected to trauma, which makes it vulnerable to dislocation. This study aims to study the current practices and perception of otolaryngologists in Saudi Arabia in dealing with such cases. Methodology: A survey study targeted otolaryngologists in Saudi Arabia. Results: A total of 77 surgeons answered the survey. Septal repositioning was the most com-mon technique used by the participants. Asymmetrical nostrils and nasal obstruction were the two most common patient complaints. 67% of participants felt comfortable dealing with such cases and 32% were uncomfortable and refer cases to facial plastic specialists. Significant correlations were found between the area of specialization and the desired surgical outcome, with a p-value of 0.001. Facial plastic specialists target functional and aesthetic outcomes, while non-facial plastic focus on functional outcomes. In addition, a significant difference was found in terms of comfort level and competency between non-facial plastic and facial-plastic otolaryngologists, with a p-value of 0.004 favoring the latter. Conclusion: Discrepancies were found in terms of practices, perception, and comfort level in dealing with caudal septal dislocation among otolaryngologists in Saudi Arabia, suggesting that various surgical techniques are used in correcting caudal dislocation and that there is a diversity of cases presented in residency programs.