Korean Journal of Otolaryngology - Head and Neck Surgery  2022;65(7):419-422

doi:10.3342/kjorl-hns.2022.00367

Horizontal Dorsal Septal Incision for High Deviation Correction During Septoplasty

Cheol Hyo KU 1 ; Eun Jung LEE ; Sang Man PARK ; Ha Neul LEE ; Hyun Su LEE ; Dong-Joon PARK

Affiliations

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Country

Republic of Korea

Language

Korean

Abstract

When performing septoplasty in patients with a high deviation of the nasal septum, effective correction is difficult and postoperative complications such as a saddle nose may result if the bone or cartilage is removed inordinately. Although several surgical techniques have been introduced, some are difficult to apply easily. Furthermore, the deviation may persist despite the application of surgical techniques due to the rebound memory of the remaining cartilage. This study aimed to describe a simple and safe surgical technique for crooked nasal septa with a high deviation. This method using horizontal dorsal septal incision allows easy separation of the highly deviated portion from the upper lateral cartilage. Furthermore, it is less traumatic than other methods, and predictably preserves the keystone area.