Triangular excision and submucosal rejoining to correct horizontally folded caudal nasal septum

Area of Science:

• Otolaryngology
• Rhinology
• Surgical Innovation

Background:

• Severe caudal septal deviation presents surgical challenges.
• Horizontal fracture lines are sometimes found in severe caudal septal deflection.
• Existing methods for correcting this deformity are often complex.

Purpose of the Study:

• To introduce and evaluate a novel surgical technique for severe caudal septal deviation.
• To address the specific challenge of horizontally folded caudal septums.
• To provide a simple and efficient septoplasty method.

Main Methods:

• The
• triangular excision and submucosal rejoining
• technique was applied to 9 patients.
• A triangular piece of cartilage was removed from the caudal septum.
• Remaining cartilage segments were rejoined with buried sutures.

Main Results:

• The technique was effective in all 9 patients.
• No serious complications like dorsal saddling or tip ptosis occurred.
• One patient had mild recurrence but maintained nasal patency.

Conclusions:

• The
• triangular excision and submucosal rejoining
• technique is safe and efficient.
• It is suitable for correcting horizontally folded caudal septums.
• This method offers a valuable option for septoplasty.