Extracorporeal Septoplasty in Correction of Deviated Nose via Closed Septorhinoplasty Approach

Abstract

Extracorporeal septoplasty (ECS) is a surgical approach for correction of severe septal deviation. This is a retrospective case study to find the percentage, nasal septal pathology, and outcomes of ECS among patients with deviated nose treated by primary closed septorhinoplasty at Salah-Elden governorate in Iraq during six years period. The percentage of indication for ECS in correction of a deviated nose was (22.6 %, 26 out of 115 patients). The nasal septal pathology was mainly in the anterior part, in cottle's area I, pathology was found in all (26 patients,100%) and in cottle's areas II and III was (92.3%). The neoseptum with the spreader grafts was fixed dorsally by two transcutaneous sutures and caudal septum fixed into groove between medial crura and to the anterior nasal spine. Patient and surgeon satisfaction regarding the cosmetic outcomes were very good in (22 patients, 80.8%), while excellent functional outcomes happened in (25 patient, 96.2%) who get relief of nasal obstruction.