Correction of caudal septal deviation

A grossly deviated caudal septum can create an unappealing, asymmetric columella and cause significant nasal obstruction secondary to external valve collapse (figure I. A). The treatment of nasal airway obstruction secondary toa severely deviated caudal nasal septum can be extremely chiillenging. Nevertheless, techniques such as septal cartilage scoring, morselizing. repositioning on the nasal spine, and even extracorporeal septal reconstruction' can be effective

Another option is placement of a caudal septal extension graft (CSEG) via an external or an endonasal approach. This isa versatile and reliable method of correcting a deviation and stabilizing the base of the nose.

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