Abstract
To propose a classification of anatomical variation of the caudal septal deviation and propose strategy for the management of caudal septal deviation by septo-rhinoplasty and to evaluate the efficacy of treatment of different types of caudal septal deviation in terms of aesthetic and functional outcome. The study is a retrospective review of 124 cases with significant anterior caudal deviation causing aesthetic and or functional problems, treated by septo-rhinoplasty within a 5 year period from December 2014 to December 2019, with a minimum follow up of 6 months. Visual analogue scale, photographic evaluation and subjective assessment were used for postoperative outcomes. Significant improvement in the treatment of nasal obstruction was achieved, with mean visual analogue scale score of 7.83 preoperatively to 3.56 postoperatively, Subjective assessment showed marked satisfaction in 96 patients, moderate satisfaction in 21 and no improvement in seven patients of total 124 patients. The rate of revision was (4%). A novel classification of anterior caudal septal deviation is proposed with surgical technique directed for individual deformity and we have achieved very good results.
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References
Metzenbaum M (1929) Replacement of the lower end of the dislocated septal cartilage versus submucous resection of the dislocated end of the septal cartilage. Arch Otolaryngol 9(3):282–296
Baumann I, Baumann H (2007) A new classification of septal deviations. Rhinology 45(3):220–223
Lin JK, Wheatley FC, Handwerker J, Harris NJ, Wong BJF (2014) Analyzing nasal septal deviations to develop a new classification system: a computed tomography study using MATLAB and OsiriX. JAMA Facial Plastic Surg 16(3):183–187. https://doi.org/10.1001/jamafacial.2013.2480
Pastorek NJ (2000) Treating the caudal septal deflection. Arch Facial Plast Surg 220:2217 (PubMedGoogleScholarCrossref)
Freer OT (1902) The correction of the deflections of the nasal septum with a minimum of traumatism. JAMA 38:636 (ArticleGoogleScholarCrossref)
Kridel RW (1999) The tongue-in-groove technique in septorhinoplasty. A 10 year experience. Arch Facial Plast Surg 1(4):246–56 (discussion 257–8)
Kayabasoglu G (2015) A novel method for reconstruction of severe caudal nasal septal deviation: Marionette septoplasty. Ear Nose Throat J 94(6):E34–40
Baser B (1996) Autologus ethmoid splint for nasal septal reconstruction. Indian J Otolaryngol Head Neck Surg 48:45–47
Lee JW, Baker SR (2013) Correction of caudal septal deviation and deformity using nasal septal bone grafts. JAMA Facial Plast Surg 15(2):96–100. https://doi.org/10.1001/2013.jamafacial.73
Jang YJ (2009) Cutting and suture technique of the caudal septal cartilage for the management of caudal septal deviation. Arch Otolaryngol Head Neck Surg 135(12):1256–1260
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Baser, B., Surana, P., Singh, P. et al. Caudal Septal Deviation: New Classification and Management Strategy. Indian J Otolaryngol Head Neck Surg 73, 424–430 (2021). https://doi.org/10.1007/s12070-020-01909-7
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DOI: https://doi.org/10.1007/s12070-020-01909-7