(1) Department of Plastic and Reconstructive Surgery, Campus Bio-Medico University of Rome, School of Medicine, Rome, Italy.
(2) Operative Unit of Plastic and Reconstructive Surgery, Hospital of Pisa, Italy.
* Corresponding author Email: firstname.lastname@example.org
Septoplasty is a commonly performed procedure that provides an effective treatment of nasal septum deformities. It has become an essential issue in nasal surgery for both functional and aesthetic reasons. The traditional septoplasty approach is often unsuitable for severe septal deviations. In such cases, extracorporeal septoplasty has been credited to obtain more reliable outcomes. However, this technique has received some criticisms because of the destabilization of the keystone area. Due to the increasing number of techniques available, an overview of the cosmetic and functional results of such methods is reasonable. In addition, a comparison of the outcomes of the different techniques may shed further light on which is the best method to correct severe septal deviations. This critical review discusses the correction of nasal septal deviations in rhinoplasty.
A review of the literature on the evaluation of the main septoplasty techniques has been conducted. The procedures were evaluated and compared for indications, contraindications, advantages and disadvantages.
The classic septoplasty approach often appears inadequate in cases of marked septal deformations due to the increased risk of recurrence. From the critical review, the extracorporeal septoplasty technique seems more reliable in such cases. In particular, the modified conservative approach has demonstrated to achieve an adequate septum remodelling with cartilage spare and to avoid post-operative dorsum irregularities compared with the more traditional techniques.