Anterior Septal Reconstruction for Treatment of Severe Caudal Septal Deviation: Clinical Severity and Outcomes
Abstract
Objective: To report the long‐term efficacy of a modified extracorporeal septoplasty technique in the treatment of anterocaudal septal deviations. Study Design: Case series with chart review. Setting: Academic tertiary care medical center. Subjects and Methods: Data were obtained by a retrospective review of patients treated by a single surgeon (S.P.M.) from December 2010 to April 2014. A total of 77 patients (52 male, 25 female) met inclusion criteria. The Nasal Obstruction Septoplasty Effectiveness (NOSE) scale and a visual analog scale (VAS) were administered to all patients preoperatively and at each postoperative visit. Statistical analysis was performed using a matched‐pair t test comparing preoperative and postoperative NOSE and VAS scores. A recently described severity scale for nasal obstruction was applied to NOSE scores to demonstrate postoperative results. Results: Average follow‐up was 4.7 months. Average preoperative NOSE and VAS scores were 68.2 ± 17.4 and 7.2 ± 1.8, respectively, placing these patients in the “severe” symptoms classification. Average NOSE and VAS scores in the early postoperative period (1‐3 months after surgery) were 21.1 ± 19.8 (P <. 0001) and 2.1 ± 2.6 (P <. 0001), respectively. Average NOSE and VAS scores in the late postoperative period (>3 months after surgery) were 15.8 ± 19.0 (P <. 0001) and 1.4 ± 1.8 (P <. 0001), respectively. Both early and late postoperative NOSE scores represented “mild” symptomatology. Conclusions: Anterior septal reconstruction represents a powerful method for correction of nasal valve stenosis resulting from severe anterocaudal septal deviations.
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Anterior septal reconstruction is convenient for saving the nasal keystone region and provides a dorsal strut for a stable septal foundation.
“The anterior septal reconstruction (ASR) is convenient for saving the valued nasal keystone region, the bone and cartilage junction of the upper and middle thirds of the nose, providing a dorsal strut for a stable septal foundation.13,14”
From Sliding Spine Relocation Surgery with Anterior Septal Reconstruction (2024) · cites this paper as [14]
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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
Self-citationClinical Outcome Study after External Approach Septoplasty
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Caudal Septal Deviation Surgical Techniques
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(2025) · Thieme Medical Publishers eBooks · doi:10.1055/b-0045-212005
Guliyev, M., & Erbek, S. S. (2025) · Aesthetic Plastic Surgery · doi:10.1007/s00266-025-05361-2
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Self-citation
- Authors
- Surowitz, J., Lee, M. K., & Most, S. P.
- Affiliations
- Stanford Medicine (US)
- Corresponding author
- Most, Sam P.
- Venue
- Otolaryngology–Head and Neck Surgery
- Publisher
- Wiley
- Published
- 2015-04-16
- Volume
- 153
- Issue
- 1
- Pages
- 27-33
- ISSN
- 0161-6439 (ISSN-L)
- 0194-5998
- 1097-6817
- OpenAlex
- W2087308622
- Cited by
- 75
- References
- 17
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 7 · 2023: 5 · 2022: 8 · 2021: 6 · 2020: 10 · 2019: 10 · 2018: 9 · 2017: 5 · 2016: 5 · 2015: 2
- FWCI
- 7.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Otolaryngology (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, extracorporeal septoplasty, nasal obstruction, NOSE scale, long-term surgical outcomes
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Nasal Septum, Retrospective Studies, Rhinoplasty, Ribs, Severity of Illness Index, Nasal Obstruction, Treatment Outcome, Nasal Cartilages, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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