Endoscopic Septoplasty using Contralateral Caudal Border Incision

So this is a second video that demonstrates endoscopic septoplasty using contralateral caudal border incision. We can see the deviated septum almost obstructing the axis of the lateral wall. So in the similar fashion, the flaps are raised. We can see the cartilage.

And in the same way as the previous video, an L-shaped incision is given over the cartilage. As we saw, that the deviation is on the contralateral side in this case. And this was the area that we had marked, which needs to be removed.

So in a similar fashion, the cartilage is lifted off the contralateral Off contralateral flap. That’s the contralateral flap. It is important to maintain the integrity of this flap to avoid septal perforation. And this piece of cartilage is removed.

Sometimes we might feel that after removing one piece of the cartilage, the correction is not adequate. So the advantage of endoscopic septoplasty is that we can remove an additional piece of the cartilage so that adequate space is created on the side of surgery.

So like we removed one piece of cartilage previously in the same fashion, this inferior deviation is also corrected by removing another piece of cartilage. So this is, again, possible because of the caudal border incision. And after the cartilage is removed, we can see that the flaps are pushed and the space is adequate on the side.