Management of Caudal Septal Deviation: Historic and New Techniques

AbstractPurpose of ReviewSeptoplasty is one of the most commonly performed surgical procedures in otolaryngology. However, correction of the caudal septal deviation is the most difficult part of the septoplasty and a common cause of revision septoplasty. The aim of this paper is to review the various operative techniques described in the literature for caudal septal deviation, as well as surgical outcomes.Recent FindingsMany techniques, such as swinging door method, cross-hatching incision, scoring incision, septal batten graft, horizontal mattress suture, cutting and suture, crossing suture, septal cartilage traction suture, and anterior septal reconstruction have been used in managing caudal septal deviation. Each technique was used alone or in combination and reported 82 to 96.5% postoperative symptom improvement.SummaryThere are a variety of operative techniques to correct caudal septal deviation. Both relatively simple suture techniques and more difficult techniques showed good surgical outcomes. Appropriate patient evaluation and selection of surgical techniques are important, and multiple surgical techniques may be considered simultaneously as necessary.

Source: Current Otorhinolaryngology Reports - October 9, 2021 Category: ENT & OMF Source Type: research