Correction of Deviated Nose: Interim Septal Surgery vs Combined Approach

Management of commonly encountered septal deviations is related to the timed performance of rhinoplasty for the correction of the deviated nose. Deviations of the septum, limited to the vomerine perpendicular plate in the area of the floor of the nose, can generally be corrected simultaneously with a rhinoplasty, as well as deviations of the caudal septum. However, if shortening of the septum is to be avoided, and if the supportive capabilities of the caudal septum have been compromised, postponement of the rhinoplasty is recommended. Deviations of the ventral-caudal septurn can occasionally be performed simultaneously with a rhinoplasty especially in patients with long noses and prominent bony cartilaginous humps. Frequently, it is advantageous to perform the septal surgery as a preliminary procedure followed, after an interval of time, by a rhinoplasty. In patients with extensive deviations involving the entire septum, simultaneous rhinoplasty is not recommended.