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Related Experiment Video

Updated: Oct 15, 2025

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation

Published on: June 20, 2018

Caudal Septal Deviation: New Classification and Management Strategy.

Brajendra Baser^1,2, Praveen Surana^1,2, Pallavi Singh^1,2

¹Department of ENT and HNS, Sri Aurobindo Institute of Medical Sciences, Indore, MP India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India

|October 25, 2021

Summary

This study introduces a new classification for caudal septal deviation, improving surgical outcomes for nasal obstruction and appearance. Septo-rhinoplasty effectively addresses these deformities, leading to high patient satisfaction.

Keywords:

Caudal septal deviation Nasal obstruction Septo-rhinoplasty Surgical technique

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Published on: October 16, 2021

Area of Science:

Plastic Surgery
Otolaryngology
Anatomy

Background:

Caudal septal deviation often causes significant aesthetic and functional nasal issues.
Existing classifications may not fully address the anatomical variations.
Effective management strategies are crucial for improving patient outcomes.

Purpose of the Study:

To propose a novel classification for anatomical variations of caudal septal deviation.
To outline management strategies using septo-rhinoplasty for caudal septal deviation.
To evaluate the aesthetic and functional efficacy of treating different types of caudal septal deviation.

Main Methods:

Retrospective review of 124 patients with anterior caudal septal deviation treated with septo-rhinoplasty.
Data collected over a 5-year period (December 2014 - December 2019) with a minimum 6-month follow-up.
Outcomes assessed using Visual Analogue Scale (VAS), photographic evaluation, and subjective patient satisfaction.

Main Results:

Significant improvement in nasal obstruction, with mean VAS scores decreasing from 7.83 preoperatively to 3.56 postoperatively.
High patient satisfaction: 96 marked, 21 moderate, and 7 no improvement (out of 124 patients).
Low revision rate of 4% indicates successful surgical intervention.

Conclusions:

A novel classification of anterior caudal septal deviation is proposed.
Tailored surgical techniques based on the proposed classification yield very good aesthetic and functional results.
Septo-rhinoplasty is an effective treatment for caudal septal deviation, significantly enhancing patient quality of life.