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Related Experiment Video

Updated: Jan 5, 2026

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
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Saddle Deformity After Septoplasty and Immediate Correction.

Jooyeon Kim1, Chang Hoi Kim, Jung Ho Oh

  • 1Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea.

The Journal of Craniofacial Surgery
|October 22, 2019
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Summary

Immediate cartilage augmentation effectively corrects saddle deformity after septoplasty. This safe and easy procedure significantly improves nasal symptoms and is crucial for managing this common complication.

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Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Medical Engineering

Background:

  • Septoplasty is a common procedure to correct nasal septal deviation.
  • Iatrogenic saddle deformity can occur as a complication of septoplasty.
  • Early correction of saddle deformity is important for patient outcomes.

Purpose of the Study:

  • To evaluate the occurrence of saddle deformity following septoplasty.
  • To assess the effectiveness of immediate endonasal cartilage augmentation for correcting saddle deformity.
  • To identify predisposing factors for saddle deformity after septoplasty.

Main Methods:

  • Retrospective study of 658 patients undergoing endonasal septoplasty.
  • 14 patients with iatrogenic saddle deformity received immediate cartilage dorsal augmentation.
  • Assessment included photographic analysis, CT scans, nasal endoscopy, and the Nasal Obstruction Symptom Evaluation scale.

Main Results:

  • All patients exhibited middle to high septal deviation.
  • Anterior and central deviations were statistically significant.
  • Nasal symptoms significantly improved post-augmentation, from 18.54 preoperatively to 1.72 at 3 months.

Conclusions:

  • Immediate endonasal cartilage augmentation is a safe, easy, and effective treatment for iatrogenic saddle deformity.
  • This corrective approach is vital for both surgeons and patients.
  • Preoperative septal deviation site and severity are predisposing factors for saddle deformity.