Traumatic Caudal or Anterior Nasal Septum Deviation Treatment Difficulties

Traumatic Caudal or Anterior Nasal Septum Deviation  


Traumatic septum deviation treatment difficulties - Traumatic caudal septum deviation - Anterior septum deviation - Traumatic septum deviation - Caudal septum deviation treatment - Anterior septal dislocation - Traumatic nasal septum fracture - Nasal septum deviation operation - Septoplasty operation - Caudal septoplasty operation - Nasal septum deviation correction surgery
Traumatic septum deviation treatment difficulties - Traumatic caudal septum deviation - Anterior septum deviation - Traumatic septum deviation - Caudal septum deviation treatment - Anterior septal dislocation - Traumatic nasal septum fracture - Nasal septum deviation operation - Septoplasty operation - Caudal septoplasty operation - Nasal septum deviation correction surgery


What Is The Nasal Septum?


The nasal septum is a structure that separates the nasal cavity vertically and consists of bone-cartilage, both sides covered by the nasal mucosa, and you can find detailed information on the definition, description, treatment and deviation surgery of nasal septum deviations at the links below.

Nasal Septum Deviation Definition and Causes


Normally, septum deviations may also occur in cases of inherited genetic causes, trauma to the nasal region during birth or at any time in human life after birth. Unlike genetic nasal septum deviations, septum deviations can occur by traumatic causes (nasal bone fracture and septum fracture do not confuse!). Unfortunately, the curvature of the cartilage in the nose in some of patients with nasal septum deviation caused by trauma rather than a simple deviation surgery is becoming a problem for the operations to be performed much more careful and attentive.

Treatment Difficulties For Nasal Septum Deviations


Depending on the traumatized areas of the nasal septum and the severity of the trauma, septum deviations and associated problems can occur with traumatic reasons as follows.

•  Caudal or Anterior Nasal Septum Deviation

deviations, dislocations, fractures and nasal drops can occur at the bottom of the nasal septum (caudal septum) as traverses approaching the nasal tip. In such deviations, simple removal of the curved cartilage area can result in severe loss of support and droop at the nose tip. In caudal septum deviations, unlike normal closed and intranasal deviations, it may be necessary to perform open technique nose surgery and reconstruct cartilage support tissue at the nose tip.


Traumatic septum deviation treatment difficulties - Traumatic caudal septum deviation - Anterior septum deviation - Traumatic septum deviation - Caudal septum deviation treatment - Anterior septal dislocation - Traumatic nasal septum fracture - Nasal septum deviation operation - Septoplasty operation - Caudal septoplasty operation - Nasal septum deviation correction surgery
Traumatic septum deviation treatment difficulties - Traumatic caudal septum deviation - Anterior septum deviation - Traumatic septum deviation - Caudal septum deviation treatment - Anterior septal dislocation - Traumatic nasal septum fracture - Nasal septum deviation operation - Septoplasty operation - Caudal septoplasty operation - Nasal septum deviation correction surgery


•  Traumatic Nasal Septum Deviation

In the above photograph, it is seen that after the trauma from front to back to the tip of the nose, the bottom part of the septum cartilage is displaced to the left. Taking this curved cartilage area alone can cause loss of support at the tip of the nose and nose tip droop. For this reason, open technique similar to nasal aesthetic surgery, open septoplasty operation is suitable.


Traumatic septum deviation - Traumatic nasal septum fracture - Nasal septum deviation operation - Septoplasty operation - Nasal septum deviation correction surgery - Bone spur formation
Traumatic septum deviation - Traumatic nasal septum fracture - Nasal septum deviation operation - Septoplasty operation - Nasal septum deviation correction surgery - Bone spur formation

• During normal simple septoplasty operation, cartilage is dissected and curved septal cartilage sites are removed with minimal traumatic techniques (submucous dissection, submucous removal ...). As seen in the photographs above, it is seen that if the septum is broken in the anterior part and two separate cartilaginous lines are formed traumatically, and the cartilage of each cartilage is followed, the septum seems to be punctured. Care should be taken when cartilage membranes are lifted in patients with such folded cartilage laminas with different angulations.

• in the case of traumatic cartilage flexion, ossified needle-like protrusions (bone spur formations) extending laterally from fracture lines may occur after fractures at the back of the septum.


Traumatic septum deviation treatment difficulties - Traumatic caudal septum deviation - Anterior septum deviation - Traumatic septum deviation - Caudal septum deviation treatment - Anterior septal dislocation - Traumatic nasal septum fracture - Nasal septum deviation operation - Septoplasty operation - Caudal septoplasty operation - Nasal septum deviation correction surgery
Traumatic septum deviation treatment difficulties - Traumatic caudal septum deviation - Anterior septum deviation - Traumatic septum deviation - Caudal septum deviation treatment - Anterior septal dislocation - Traumatic nasal septum fracture - Nasal septum deviation operation - Septoplasty operation - Caudal septoplasty operation - Nasal septum deviation correction surgery

• The traumatic cartilaginous curvatures that develop during childhood, especially when nasal development continues, can be expected to accompany the deformations of the nasal bone with time, such as "c nose" and "curved nose" (as in the photo above).

• Deviation surgery is normally performed within the nose and an average of 10-15 minutes of operation is available. Patients suffering from nasal drops, advanced deviation in the nose, patients with advanced degrees of caudal septum deviation narrowing the nasal breath may need to reconstruct the cartilaginous curvature and nasal support of the cartilaginous side in the form of open technical nasal aesthetics. In some patients, reconstruction of the septum cartilage entirely (total septal reconstruction operation) may be required. In this way, the process time is between 45-120 min. Below you can watch the animation of the deviation surgery and the nasal septum deviation animation.

Treatment of Caudal Septum Deviation


In 1929, Dr. Metzenbaum is one of the first to describe a procedure addressing the problem of caudal septum deviation. Anterior attention was drawn to the difficulty in recognizing strength in the treatment of septal deviation and the minimal effect of correction of anterior deviation of posterior (posterior) septum resection. It also emphasized the importance of preserving the caudal septum for nasal support. On the outward side, the caudal septum defines a "swinging door technique" in which a vertical wedge is removed and emphasizes that the caudal septum must be repositioned in the middle line after the procedure. Several variations of this technique have been reported, including the technique of securing the caudal septum by suturing the nasal support tissues (source: Treating the caudal septal deflection).

Dr. Pastorek and Dr. Becker shared his experience with a modified swinging door technique, and in modified technique, septal cartilage, maxillary is torn from the crest and turned over the nasal floor, which acts as a "door stopper", and fixes the caudal septum in the midline position. To fix the caudal septum piece, the lower seam is placed. The authors emphasize that a swinging door technique can be applied so as not to lose support of the tip of the nose so as not to unduly weaken the caudal septum (source >>    Caudal septoplasty for treatment of septal deviation: aesthetic and functional correction of the nasal base).

There are many different surgical techniques that have been described for correcting the caudal septum deviation without attenuating the nasal support (source >> Nasal Septal Deviations: A Systematic Review of Classification Systems).


Open Technique Septoplasty Operation
Open Technique Septoplasty Operation


Open Technique Septoplasty Operation
Open Technique Septoplasty Operation

Normally, in a classic deviation surgery or septoplasty operation, the procedure is performed within the nose and there is no visible cut or trail change from the outside. Above, photographs of the nose after the open technique septoplasty, with advanced septum deviations with caudal septum deviation and in contact with the inferior turbinate at the posterior and before the procedure are seen. Since there is no operation on the nasal bone in general, only the silicone nasal pad is inserted into the nose and the procedure is terminated.

Below are photographs of intranasal endoscopic examinations before and after surgery in a few patients who have undergone nasal septum deviation therapy with deviation surgery. Postoperative air passages increase and septum flat appearance.


Septoplasty Operation Before and After
Septoplasty Operation Before and After
 
Septoplasty Operation Before and After
Septoplasty Operation Before and After
 
Septoplasty Operation Before and After
Septoplasty Operation Before and After
 
Septoplasty Operation Before and After
Septoplasty Operation Before and After
 
Septoplasty Operation Before and After
Septoplasty Operation Before and After
 
Septoplasty Operation Before and After
Septoplasty Operation Before and After
 
Septoplasty Operation Before and After
Septoplasty Operation Before and After

Similar links >>


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  • Deviasyon Ameliyatının Riskleri

  • Atipik Baş Ağrısının Gözden Kaçabilen Bir Nedeni: Burunda Kemik Spur

  • Septum Deviasyonu Türleri

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  • Septoplasty in Istanbul

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  • Septoplasty Cost in İstanbul


  • Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

    Private Office:
    Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
    Appointment Phone: +90 212 561 00 52
    E-Mail: muratenoz@gmail.com
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