Abstract
■ The most common indication for septal surgery is to relieve nasal obstruction from septal deviation that hinders airflow through the nose.
■ Techniques for septal surgery today emphasize conservative resection and preservation of septal cartilage and bone.
■ Morselization is preferred in pediatric patients. With proper preservation of septal cartilage through morselization and repositioning, surgery can be safely undertaken in the pediatric population.
■ Septoplasty can provide significant improvement in disease-specific quality of life, high patient satisfaction, and decreased medication use.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Similar content being viewed by others
References
Hinderer KH: History of septoplasty. Fundamentals of anatomy and surgery of the nose, Birmingham, Alabama: Aesculapius Publishing Co.; 1971:1
Adams W. The treatment of the broken nose by forcible straightening and mechanical apparatus. BMJ 1875; 2:421
Asch M. Treatment of nasal stenosis due to deflective septum with and without thickening of the convex side. Laryngoscope 1899; 6:340
Kridel RW, Kelly PE, MacGregor, AR. The nasal septum. In: Cummings CW, ed. Otolaryngology-Head and Neck Surgery. Mosby 2005;948–1001
Planas J. The twisted nose. Clin Plast Surg 1977; 4:55
Bailey BJ. Nasal septal surgery 1896-1899: transition and controversy. Laryngoscope 1997 Jan; 107(1):10–6
Cottle MH.The ‘maxilla-premaxilla’ approach to extensive nasal septum surgery. Arch Otolaryngol Head Neck Surg 1958; 60:301
Cottle MH, Loring RM. Newer concepts of septum surgery: present status. Eye Ear Nose Throat Monthly 1948; 27:403
Jafek BJ, Dodson BT. Nasal Obstruction In: Bailey BJ et al. 3rd edition Head and Neck Surgery: Otolaryngology. Lippincott 2001;293–308
Lore JM, Medina, JE. An Atlas of Head and Neck Surgery, 4th edition. Elsevier 2005; 300–6
Shemen L, Hamburg R. Preoperative and postoperative nasal septal surgery assessment with acoustic rhinometry. Otolaryngol Head Neck Surg 1997; 117:338
Wei JL, Remington WJ, Sherris DA. Work-up and evaluation of patients with nasal obstruction. Facial Plast Surg Clin North Am 1999; 7:263
Rohrich RJ. The deviated nose: optimizing results using a simplified classification and algorithmic approach. Plast Reconstr Surg 2002; 110:1509
Slavit DH. Reconstruction of caudal end of septum. Arch Otolaryngol Head Neck Surg 1995; 121:1091
Healy GB. An approach to the nasal septum in children. Laryngoscope. 1986; 96(11):1239–42
Giles WC, Gross CW, Abram AC, et al. Endoscopic septoplasty. Laryngoscope 1994; 104(12):1507–9
Hwang PH. Endoscopic septoplasty: indications, technique, and results. Otolaryngol Head Neck Surg 1999; 120:678
Wax MK, Ramadan HH, Ortiz O et al. Contemporary management of cerebrospinal fluid rhinorrhea. Otolaryngol Head Neck Surg 1997; 116(4):442–9
Stewart MG, Smith TL, Weaver EM. Outcomes after nasal septoplasty: results from the Nasal Obstruction Septoplasty Effectiveness (NOSE) study. Otolaryngol Head Neck Surg 2004; 130(3):283–90
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2009 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Devaiah, A., Keojampa, B. (2009). Surgery of the Nasal Septum. In: Stucker, F., de Souza, C., Kenyon, G., Lian, T., Draf, W., Schick, B. (eds) Rhinology and Facial Plastic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74380-4_15
Download citation
DOI: https://doi.org/10.1007/978-3-540-74380-4_15
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-74379-8
Online ISBN: 978-3-540-74380-4
eBook Packages: MedicineMedicine (R0)