Simplifying the Management of Caudal Septal Deviation in Rhinoplasty
Abstract
SUMMARY: Correction of the deviated nose poses a challenge in even the most experienced hands. Frequently, the surgeon is faced with both a functional (airway obstruction) and an aesthetic problem that must be addressed conjointly. Accurate preoperative analysis and intraoperative diagnosis are integral to good outcomes. Caudal septal deviation is frequently present in patients presenting for rhinoplasty. The authors' current graduated technique for simplifying the management of the caudally deviated septum both aesthetically and functionally is described. If there is a persistent caudal septal deviation that has not been addressed by standard maneuvers, the caudal portion of the anterior septum is resected at the osseocartilaginous junction with the anterior nasal spine and maxillary crest and then sutured back to the periosteum of the anterior nasal spine with 5-0 polydioxanone. We have found this to be a safe and effective way of addressing the caudally deviated septum in the majority of cases.
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A technique that removes the anterior nasal spine and sutures the caudal septum to the premaxilla does not ensure anterior nasal spine stability and may shift to its original position.
“Such a technique does not ensure ANS stability and a shift to its original position is conceivable.”
From Sliding Spine Relocation Surgery with Anterior Septal Reconstruction (2024) · cites this paper as [21]
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Nasal Obstruction and Rhinoplasty: A Focused Literature Review
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Sliding Spine Relocation Surgery with Anterior Septal Reconstruction
Fleury Curado, T., El Abany, A., & Most, S. P. (2024) · Craniomaxillofacial Trauma & Reconstruction · doi:10.1177/19433875231152947
- Authors
- Constantine, F. C., Ahmad, J., Geissler, P., & Rohrich, R. J.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- ORCID
- Ahmad, Jamil
- Venue
- Plastic and Reconstructive Surgery
- Published
- 2014-09
- Volume
- 134
- Issue
- 3
- Pages
- 379e-388e
- ISSN
- 0032-1052 (ISSN-L)
- OpenAlex
- W2076474873
- Cited by
- 49
- References
- 22
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 5 · 2022: 3 · 2021: 4 · 2020: 11 · 2019: 3 · 2018: 6 · 2017: 5 · 2016: 5 · 2015: 1
- FWCI
- 3.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Plastic & Reconstructive Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Nasal Surgery and Airway Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Cleft Lip and Palate Research
- Health Sciences › Medicine › Surgery › Reconstructive Facial Surgery Techniques
- Keywords
- caudal septal deviation, rhinoplasty, deviated nose, septal deviation correction, anterior nasal spine, septal resection, airway obstruction, functional and aesthetic outcomes, polydioxanone suture
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Nasal Septum, Rhinoplasty, Nasal Obstruction
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