2016
DOI: 10.1016/j.bjorl.2015.06.009
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Two-level septocolumellar suture technique for correction of septal caudal dislocation

Abstract: 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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Cited by 9 publications
(14 citation statements)
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“…Septocolumellar suture techniques have been described, avoiding destruction of the caudal septum by using the medial crura and columellar soft tissue as anchors for relocating the caudal septum to midline. 8 , 13 , 25 However, relying on malleable soft tissue as an anchor can shift tip location and columellar configuration and with the anterior caudal septum being adjacent to the columellar-lobular breakpoint, alterations in tip configuration can occur with this technique. This soft-tissue anchoring method of caudal septal reconfiguration may be more useful near the posterior caudal septum adjacent to the nasal spine and farthest from the nasal tip.…”
Section: Discussionmentioning
confidence: 99%
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“…Septocolumellar suture techniques have been described, avoiding destruction of the caudal septum by using the medial crura and columellar soft tissue as anchors for relocating the caudal septum to midline. 8 , 13 , 25 However, relying on malleable soft tissue as an anchor can shift tip location and columellar configuration and with the anterior caudal septum being adjacent to the columellar-lobular breakpoint, alterations in tip configuration can occur with this technique. This soft-tissue anchoring method of caudal septal reconfiguration may be more useful near the posterior caudal septum adjacent to the nasal spine and farthest from the nasal tip.…”
Section: Discussionmentioning
confidence: 99%
“…4 Multiple techniques have been described for caudal septal deviation correction using grafting techniques; however, correction with isolated suture technique as described in our paper is limited. [3][4][5][6][7][8][9][10][11][12][13][14][15][16] One of these articles had some similarities to the technique we described. However, in comparison with our technique, the previous author separated cartilage from the maxillary crest by excising a thin strip of cartilage.…”
Section: Discussionmentioning
confidence: 99%
“…Only two patients developed postoperative columellar indurations which resolved with antibiotic pomade. [14] Technically, we used a mattress suture; however, our implementation was simpler with the ability to be applied not only in caudal deviations, but also in all patients with septal deviation.…”
Section: Discussionmentioning
confidence: 99%
“…This can be induced by postoperative contracture and other factors [2]. To reduce the recurrence of deviation, surgeons have developed new techniques, such as septocolumellar suturing [4] and have performed more delicate bone work using microperforating osteotomy techniques [5]. A new osteotomy method including beveled bone resection has also been introduced [6].…”
Section: Discussionmentioning
confidence: 99%