Septal replacement for severe anterior septal deviation

Purpose: To introduce a novel surgical technique for treatment of severe anterior septal deviation. Materials and Methods: Retrospective case series set in a tertiary-care hospital. Ten patients were treated over an 18-month period. External septorhinoplasty and septal replacement for severe anterior septal deviation. Postoperative clinical nasal examination and photographic comparison. Results: Ten patients were treated with septal replacement for severe anterior septal deviation over an 18-month period. All patients were followed for a minimum of 1 year. No postoperative complications were seen. All patients reported a subjective improvement in their nasal airway and nasal appearance. This was confirmed with clinical examination and photographic comparison. Conclusion: Septal replacement for severe anterior septal deviation is a viable option for select patients who can not be successfully treated with conventional techniques. (Am J Otolaryngol 2000,21.147-152. Copyright (C) 2000 by W.B. Saunders Company).