Versatile Applications of Different Septal Correction Techniques in Rhinoplasty

Abstract

Nasal obstruction due to septal deviation is a commonproblem. In addition to the functional problem it may causean aesthetic deformity. Several septal correction techniqueshave been evolved over the years either through open or theendoscopic approaches. Beside the classic Insitu septal correctiontechniques; extracorporeal septoplasty represents aneffective tool in the management of severely deviated septum.The internal nasal valves are the narrowest part of the upperairway system. Their reconstruction is very essential step fora successful functional outcome. In the current study, theauthors compared between two groups of patients. The firstgroup was the extracorporeal septoplasty and the second group was the Insitu septoplasty. In both groups; they used spreadergrafts for the internal valve reconstruction. The procedurethen was conducted with the same essential steps of rhinoplastyaccording to each case individually. A validated subjectivescore for functional assessment of the improvement (NOSE)was used. NOSE score was used for subjective assessment ofthe results before and 6 months after the procedure. Statistically,results were nearly the same between the two groups after 6months. The authors concluded that both techniques wereeffective in the management of moderate to severe septaldeviation provided that the internal valve was constructedwith spreader grafts.