A New Persistent Suture Technique for Correction of Caudal Septal Dislocation

Introduction: Caudal septal dislocation is both a functional and an aesthetic problem. The caudal septum that causes nasal obstruction displaces the right or left of columella. Despite the various maneuvers currently available for treatment, this issue is still controversial. We describe a new technique that uses a nonabsorbable suture material to keep the septum in the midline in mild and moderate caudal septal dislocations and can be used in addition to other current techniques. Surgical Technique: A full-length (lengthways) pocket is opened between the medial cruras, and the dislocated caudal septum is placed in it and then fixed to the soft tissue in the region of columella under the skin by a nonabsorbable suture. It is used as a complementary technique for both the swinging door and the Goldman technique. Discussion: This technique prevents redeviation in the same direction, especially in the superior portion of the caudal end, due to the memory of cartilage tissue. It will therefore reduce revision rates.