Two-level septocolumellar suture technique for correction of septal caudal dislocation

Nevzat Demirbilek, Cenk Evren, Mustafa Suphi Elbistanlı, Uzay Altun, Selda Sarikaya Günay
Brazilian Journal of Otorhinolaryngology 2016, 82 (4): 403-7

INTRODUCTION: Caudal septal dislocation is a respiratory and cosmetic problem. The correction of caudal septal dislocation is a challenging issue. Although different modalities have been described for the treatment, it is still controversial.

OBJECTIVES: This study aims to describe a two-level suture technique which can be used to correct and stabilize the septum in the columellar pocket.

METHODS: The caudal septum was fixed to the nasal spine with suturing, and an anterior columellar pocket was formed. Two septocolumellar sutures including superior and inferior were performed to correct the dislocated caudal septum and to increase the stability of caudal septum in the columellar pocket.

RESULTS: Anterior rhinoscopy showed no recurrent deviation or dislocation in our patients.

CONCLUSION: Our suture technique is an effective and easy-to-use method to correct the caudal septal dislocation. It can also be used to increase the stability of corrected septum by other techniques. A two-level suture technique increases the success of correction and reduces the risk of postoperative septal caudal luxation, stabilizing the superior portion of the caudal septum, in particular. Therefore, it would reduce the rate of redo surgeries.

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