Correction of Caudal Septal Deviation and Deformity Using Nasal Septal Bone Grafts

Nasal Septal Deviations: A Systematic Review of Classification Systems

“…Of the 50 articles reviewed in their entirety, the following are reasons for exclusion: two were letters to the editor [ 13 , 49 ], one classified nasal defects based on subunits and corrective surgeries [ 24 ], one study correlated previously described systems in their patients [ 37 ], one used a previously published classification system [ 46 ], one described trauma and surgical techniques [ 2 ], two referenced their own previously described classification system [ 21 , 28 ], one was a questions and answers article [ 17 ], two articles focused on the external nasal deformities [ 15 , 39 ], fourteen articles focused on operative techniques [ 4 , 18 – 20 , 29 – 32 , 35 , 36 , 38 , 40 , 47 , 50 ], and ten articles failed to meet criteria as classification systems [ 5 , 7 , 9 – 12 , 14 , 22 , 34 , 42 ]. A total of fifteen articles met inclusion criteria for describing internal nasal septal deviation classification systems [ 3 , 6 , 8 , 16 , 23 , 25 – 27 , 33 , 41 , 43 , 44 , 48 , 51 ]. Figure 1 demonstrates the flow diagram for study selection.…”

Use of an autologous bony crossbar graft for the management of caudal septal deviation: Our experience in twenty‐two patients

“…1 Several authors have suggested that grafting techniques or extracorporeal septoplasty can be considered for the management of severe caudal deviation. 5 stronger than a cartilage graft, and many authors have proposed the use of autologous septal bone grafts to improve the results and prevent excessive thickening of the septum. 5,7 In 1994, Metzinger 6 proposed using a bilateral septal bone graft technique to straighten the deviated caudal septum.…”

“…The shape of the bone grafts is different in the reported studies, and most authors use a roughly round-shaped bone graft. [4][5][6] The anterior portion of the nose is very pliable and mobile. The white arrow denotes the location of the bone graft optimal results.…”

“…Many reports have also described the use of bone grafts, harvested from the perpendicular plate of the ethmoid bone or the vomer bone, to correct the deviated caudal septum. [3][4][5][6][7] Based on these studies, we developed a new method to correct a deviated caudal septum using an autologous bony crossbar (ABC) graft via an endonasal approach.…”

Septoplasty: Endoscopic and Open Techniques

“…The batten grafts can provide a strong support to overcome the internal coiling strength of the deviated cartilage and also prevent possible nasal tip drooping due to aggressive septation of the bonycartilaginous junction. The batten grafts can be taken from either the cartilaginous septum [10,11] or the perpendicular plate of the ethmoid bone [12][13][14], and it can be performed endonasally. The bony grafts do not cause internal nasal valve obstruction, and the cartilage grafts can be beveled to avoid excessive thickness of the caudal septum.…”