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Updated: Oct 9, 2025

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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
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Correcting Caudal Septal Deviation with a Modified Horizontal Mattress Suture.
Ritwik Grover1, Nargiz Seyidova1, Hassan Alnaeem1
1Division of Plastic Surgery, Beth Israel Deaconess Medical Center, Boston, Mass.
Plastic and Reconstructive Surgery. Global Open
|December 22, 2021
Summary
Surgical correction of caudal septal deviation is challenging. A modified horizontal mattress suture technique offers a minimally invasive solution for caudal septal deviation, maintaining correction for two years.
Area of Science:
- Rhinologic Surgery
- Plastic Surgery
- Otolaryngology
Background:
- Caudal septal deviation poses surgical challenges due to its role in nasal tip support and aesthetics.
- Existing grafting techniques for caudal septum repair are complex, with limited minimally invasive suture options.
Observation:
- This case report details a modified horizontal mattress suture technique for caudal septal deviation.
Findings:
- The modified suture technique successfully corrected anterior caudal septum deviation in a revision septorhinoplasty patient.
- Correction of the caudal septal deviation was maintained at a 2-year follow-up.
Implications:
- This minimally invasive suture technique may offer an effective alternative for correcting caudal septal deviation.
- Further studies are warranted to evaluate the long-term efficacy and applicability of this technique in diverse patient populations.

