Caudal septoplasty: efficacy of a surgical technique-preliminnary report

Abstract

Al though not being the most frequent nasal septal deviations, those of the caudal septum account for many complaints. The correction of such defects has always been the subject of much controversy, and several different operative techniques have been described. Aim:To assess the efficacy of a surgical technique for correcting caudal septal deviations. Materials and Methods:prospective study with preliminary reports of 10 patients who answered a standardized, specific questionnaire (the nasal Obstruction Symptom evaluation, or nOSe), underwent acoustic rhinometry and had their noses photographed. Caudal deviations were then corrected through a surgical technique whereby the entire deviated portion is removed and a straight cartilage segment is placed between the medial crura of the alar cartilages, through a retrograde approach, to support the nasal tip. Sixty days after all patients were reassessed. Results:As for the nOSe questionnaire, mean pre-operative and post-operative scores were 82.39 and 7.39 respectively (p<0.001). pre-operative acoustic rhinometry showed mean minimum crosssectional area (MCA) values of 0.352 and 0.431 cm2, whereas mean post-operative values were 0.657 and 0.711 cm2(p<0.0001). Conclusions:The study results prove, both subjectively (patient satisfaction as measured with a standardized questionnaire) and objectively (acoustic rhinometry findings), that the proposed technique for correction of caudal septal deviation is safe and effective. Braz J Otorhinolaryngol. 2011;77(2):178-84. ORIgInAL ARTIcLE BJORL

The effect of caudal septoplasty on nasal angle parameters: a report on 69 cases

“…Also, the follow‐up period can be a shortcoming. Considering the fact that follow‐up periods were between 3 and 6 months in the previous reported studies on complications after septoplasty, the follow‐up period of the present study may be reasonable. However, a 9‐year follow‐up study has shown that both subjective and objective changes in nasal airway patency take place over time .…”

“…As to the limitations of this study, as septoplasty does not only include the correction of caudal septum but also the correction of all deviated portions, it is difficult to insist that the result of this study is only influenced by caudal septoplasty, especially regarding nasal obstruction. Meanwhile, the change in nasal angles can be the result of caudal septoplasty because the structural problem in angle from the conventional septoplasty is minimal . Another limitation is the number of cases between the techniques.…”

“…Even though caudal septal deviation is not the most common type of nasal septal deviation, minimal or mild caudal deviation causes severe nasal obstruction because it is located exactly in the narrowest portion of the nasal cavity . Treatment of deformities located in the L‐strut of the septum may be technically difficult and challenging, and functional, structural and aesthetic considerations must be taken into account.…”

Transcutaneous Columellar Strut for Correcting Caudal Nasal Septal Deviation

“…Severe caudal septal deviation causes stenosis of the external nasal valve and aesthetic problems [6][7][8][9][10][11][12][13][14][15][16][17][18]. In the Preoperative NOSE score and postoperative changes were shown.…”

“…Caudal septal deviation is among the causes of narrowing of the external nasal valve [6]. Even mild caudal septal deviation can cause significant obstruction [7,8]. Several techniques have been recommended for correction of caudal septal deviation due to its complexity.…”