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Caudal Septoplasty for Treatment of Septal Deviation
Aesthetic and Functional Correction of the Nasal Base
Jack D. Sedwick, MD;
Andres Bustillo Lopez, MD;
Byron J. Gajewski, PhD;
Robert L. Simons, MD
Arch Facial Plast Surg. 2005;7:158-162.
Objectives To describe our technique in the treatment of significant caudal septal deviation; to evaluate the effectiveness of our technique of caudal septoplasty in the treatment of caudal septal deviations.
Design Retrospective review of cases taken from a database of more than 2000 patients who underwent rhinoplasty performed by 1 surgeon in a private facial plastic surgery practice.
Results Medical charts were reviewed to determine the rate of preoperative nasal obstruction in 59 (95%) of 62 patients as well as nasal obstruction postoperatively 11 (17%) of 62 (P<.001). Photographs were reviewed to determine the severity of caudal deviation and the postoperative result. By photographic evaluation, we found that all but 3 patients had significant improvement in their postoperative appearance. Twenty-six patients had no evidence of residual asymmetry. The rate of revision was 5 (8%) of 62 patients.
Conclusions The caudal septoplasty technique is effective, relatively easy to perform, and shows long-term reliability in correcting caudal septal deviation. In properly selected patients, the technique is effective in improving cosmesis and nasal airflow.
Author Affiliations: Department of Otolaryngology, University of Florida, Gainesville (Dr Sedwick); Department of Otolaryngology, University of Miami, Miami, Fla (Dr Lopez); and University of Kansas, Kansas City (Dr Gajewski). Dr Simons is in private practice in North Miami Beach, Fla.
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