The septal deviation of the lower part of the cartilaginous nasal septum is generally the septal deviation that blocks the nasal airways.


Such DNS (Deviated Nasal Septum) is readily corrected, with improved airway, when the septum is repaired through the Septoplasty. 


In some cases the higher part of nasal septum is also deviated, making the uppermost part of the triangular airway very narrow and disrupting the natural laminar flow of air through the nasal cavity.


This compromised area is also the culprit in some cases of failed Septoplasty where the Nasal Valve Compromise has either not been recognized or not been addressed adequately.


In Cosmetic and Functional Rhinoplasty “Spreader grafts” are sometimes employed to keep the ULC-NB(Upper Nasal Cartilage-Nasal Bone complex) adequately separated from the antero-superior (Dorsal) part of nasal septum – along the slope of the nose.

 

Septoplasty is one of the most successful operations when used for the right indication.

Septoplasty is a nose surgery that is aimed at plastic repair of nasal septum … the party wall between the two sides of the nose. It is performed either on its own or as a part of other functional and cosmetic nasal or sinus surgeries. 

In adequately evaluated cases its results are very gratifying.

Failure of Septoplasty in improving the airway and improving the perceived comfort of breathing can result from :

1. Inadequate correction (very common). Posterior obstructive spurs are often left behind and use of endoscopic Septoplasty allows excellent visualization to tackle such problems.
2. Allergic Rhinitis (if its role is not established early)
3. Nasal valve compromise (failure of identification or failure to address it)
4. Physical obstruction from nasal mass or polyps 
5. Septal adhesions / synechiae