Septal deformity

Septal deformity

Deviation of the nasal septum may occur naturally or arise as a result of nasal trauma and is readily apparent on anterior rhinoscopy ( Figure 51.40 ). Surgical correction can be achieved by a submucous resection (SMR) of the septum where the deformed septal cartilage is excised while preserving a caudal and dorsal strut for support ( Figure 51.41 ). The alternative is a septoplasty procedure during which the septal cartilage is preserved but the anatomical abnormalities giving rise to its deformity , such as a twisted maxillary crest or inclination of the bony septum posteriorly , are corrected. Complications of septal surgery include septal perforation. If too much cartilage is excised in the SMR procedure, loss of support to the dorsum of the nose may result in a supra-tip depression or drooping of the tip of the nose. Septal deformity

Deviation of the nasal septum may occur naturally or arise as a result of nasal trauma and is readily apparent on anterior rhinoscopy ( Figure 51.40 ). Surgical correction can be achieved by a submucous resection (SMR) of the septum where the deformed septal cartilage is excised while preserving a caudal and dorsal strut for support ( Figure 51.41 ). The alternative is a septoplasty procedure during which the septal cartilage is preserved but the anatomical abnormalities giving rise to its deformity , such as a twisted maxillary crest or inclination of the bony septum posteriorly , are corrected. Complications of septal surgery include septal perforation. If too much cartilage is excised in the SMR procedure, loss of support to the dorsum of the nose may result in a supra-tip depression or drooping of the tip of the nose.