[Septal surgery in septorhinoplasty].

Area of Science:

• Otolaryngology
• Plastic Surgery

Context:

• Septoplasty is a foundational procedure in rhinoplasty, influencing both aesthetic and functional outcomes.
• The success of septoplasty hinges on patient assessment, preoperative analysis, and surgeon expertise.

Purpose:

• To outline current concepts and techniques for septum correction in rhinoplasty.
• To differentiate between endonasal and open approaches based on septal deviation severity.

Summary:

• Minor septal deviations (spurs, crests, simple C/S-shapes) are often managed endonasally with specific techniques like swinging door or grafting.
• Severe deviations, cleft nose deformities, multiple fractures, and revision cases typically require an open approach with complete septal reconstruction.

Impact:

• Provides a framework for selecting appropriate surgical strategies for diverse septal pathologies.
• Aims to optimize functional and aesthetic results in rhinoplasty patients through tailored septal correction.