Surgical Correction of Caudal Septal Dislocation in Septoplasty and Septorhinoplasty

Emanuel, Emanuel Sargon; Abdulkareem, Hiwa Asaad

doi:10.52573/ipmj.2021.167821

	Surgical Correction of Caudal Septal Dislocation in Septoplasty and Septorhinoplasty
Iraqi Postgraduate Medical Journal
Article 4, Volume 20, Issue 1, 2021, Pages 17-26 PDF (488.55 K)
Document Type: Research Paper
DOI: 10.52573/ipmj.2021.167821
Authors
Emanuel Sargon Emanuel; Hiwa Asaad Abdulkareem
Center of Otolaryngology- Head and Neck Surgery/ Sulaymaniyah Teaching Hospital and Azmar private Hospital. Sulaymaniyah/Iraq
Abstract
BACKGROUND: Several techniques and maneuvers for surgical correction of caudal septal dislocation have been mentioned in the literature nevertheless the subject has still bearing different opinions and preferences on which approach to be applied. AIM OF STUDY: to assess different surgical approaches and techniques that are used in the management of caudal septal dislocation. PATIENTS AND METHOD: A prospective, observational study was conducted on 50 patients from 10 January 2018 to August 2018 with age range from (18-39 years) who underwent nasal surgery (septoplasty, septorhinoplasty). The study conducted in Center of Otolaryngology- Head and Neck surgery/ Sulaymaniyah Teaching Hospital and Azmar private hospital. Preoperative assessment data were gathered & compared with postoperative assessment data after 3-6 months follow up. The data was analyzed statistically using SPSS version 25. RESULTS: patients included in the study were 64% males and 36% females, 22% went through septoplasty while 78% went through septorhinoplasty. For the techniques that used in surgical correction of the caudal dislocation (wedge resection, batten graft and L-strut graft) the results were significant postoperatively while for scoring technique the results were insignificant postoperatively . CONCLUSION: There are different techniques used in surgical correction of caudal septal dislocation with good results and according to each patient. The use of L-strut graft technique whenever it needed especially in severe deviation .
Keywords
caudal dislocation; L-strut graft; scoring and wedge excision

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