Use of an Autologous Bony Crossbar Graft for the Management of Caudal Septal Deviation: Our Experience in Twenty-Two Patients

Abstract

Septoplasty for a deviated caudal septum is a technique challenging surgery. The two goals of surgery are adequate correction of the deviated septum and maintenance of the nasal tip structural support.

Use of an autologous bony crossbar graft to correct a deviate caudal septum offers the following advantages. No difficult drilling or suturing procedure is needed because the graft was kept in place by the elastic properties of the buttonhole cartilage incisions. Second, a simple endonasal approach is sufficient to expose the entire surgical field. Third, the small strip-shaped bone graft can help preserve the natural mobility of nose.

Bone resorption and subsequent recurrence is one concern of this technique, however, previous reports have shown the reliability and persistence of bone graft in caudal septoplasty.

Correction of a deviated caudal septum with an autologous bony crossbar graft has the potential to be a useful option for the management of caudal septal deviation.

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