eMedicine Specialties > Otolaryngology and Facial Plastic Surgery > Reconstructive Surgery

Septoplasty: Multimedia

Author: Deborah Watson, MD, Associate Professor, Department of Surgery, Division of Head and Neck Surgery, University of California at San Diego School of Medicine
Contributor Information and Disclosures

Updated: Mar 18, 2009

Multimedia

<BR><BR>Cross-sectional area of the nasal cavity ...Media file 1:

Cross-sectional area of the nasal cavity at the middle vault level. The ideal angle the caudal edge of the upper lateral cartilage makes with the septum is 10-15°.
<BR><BR>Cross-sectional area of the nasal cavity ...



Cross-sectional area of the nasal cavity at the middle vault level. The ideal angle the caudal edge of the upper lateral cartilage makes with the septum is 10-15°.

<BR>Blood supply to the nasal septum derives cont...Media file 2:
Blood supply to the nasal septum derives contribution from the anterior and posterior ethmoidal arteries, the sphenopalatine artery, the septal branch of the superior labial artery (not labeled), and the greater and ascending palatine arteries (not labeled).
<BR>Blood supply to the nasal septum derives cont...


Blood supply to the nasal septum derives contribution from the anterior and posterior ethmoidal arteries, the sphenopalatine artery, the septal branch of the superior labial artery (not labeled), and the greater and ascending palatine arteries (not labeled).

Axial CT scan demonstrating severe septal deviati...Media file 3: Axial CT scan demonstrating severe septal deviation. Note left-sided deflection of caudal septum and right-sided nasal airway obstruction due to bony and cartilaginous posterior deviation.
Axial CT scan demonstrating severe septal deviati...

Axial CT scan demonstrating severe septal deviation. Note left-sided deflection of caudal septum and right-sided nasal airway obstruction due to bony and cartilaginous posterior deviation.

<BR>Location of the hemitransfixion and Killian i...Media file 4:
Location of the hemitransfixion and Killian incisions.
<BR>Location of the hemitransfixion and Killian i...


Location of the hemitransfixion and Killian incisions.

<BR>Elevation of the mucoperichondrial flap with ...Media file 5:
Elevation of the mucoperichondrial flap with a Cottle elevator.
<BR>Elevation of the mucoperichondrial flap with ...


Elevation of the mucoperichondrial flap with a Cottle elevator.

<BR>(A) Transcartilaginous incision near the osse...Media file 6:
(A) Transcartilaginous incision near the osseocartilaginous junction. (B) Excision of posteroinferior septal cartilage to achieve a swinging door effect. (C) Inferior strip excision of cartilage.
<BR>(A) Transcartilaginous incision near the osse...


(A) Transcartilaginous incision near the osseocartilaginous junction. (B) Excision of posteroinferior septal cartilage to achieve a swinging door effect. (C) Inferior strip excision of cartilage.

<BR>The external nasal approach provides direct v...Media file 7:
The external nasal approach provides direct visualization of the anterior and dorsal septum and easy access for septal repair.
<BR>The external nasal approach provides direct v...


The external nasal approach provides direct visualization of the anterior and dorsal septum and easy access for septal repair.

<BR>One technique of incising the septal cartilag...Media file 8:
One technique of incising the septal cartilage involves removing thin wedges from the convex side of the deviated septum to encourage midline repositioning.
<BR>One technique of incising the septal cartilag...


One technique of incising the septal cartilage involves removing thin wedges from the convex side of the deviated septum to encourage midline repositioning.

<BR>Excess and displaced septal cartilage along a...Media file 9:
Excess and displaced septal cartilage along a hypertrophied maxillary crest can be excised. A straight osteotome may facilitate removal of the bony portion.
<BR>Excess and displaced septal cartilage along a...


Excess and displaced septal cartilage along a hypertrophied maxillary crest can be excised. A straight osteotome may facilitate removal of the bony portion.

More on Septoplasty

Overview: Septoplasty
Workup: Septoplasty
Treatment: Septoplasty
Follow-up: Septoplasty
Multimedia: Septoplasty
References

References

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  19. Manoukian PD, Wyatt JR, Leopold DA, Bass EB. Recent trends in utilization of procedures in otolaryngology-head and neck surgery. Laryngoscope. Apr 1997;107(4):472-7. [Medline].

  20. Metzenbaum M. Replacement of the lower end of the dislocated septal cartilage versus submucous resection of the dislocated end of the septal cartilage. Arch Otolaryngol HNS. 1929;9:282-311.

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Further Reading

Keywords

septoplasty, deviated septum, deviated nasal septum, septum, rhinoplasty, submucous resection, septal repair, septal surgery, nose surgery, nose job, nose repair, nasal obstruction, septal deviation, nasal septal deviation, epistaxis, sinus ostium obstruction, nasal septoplasty, septoplasty surgery

Contributor Information and Disclosures

Author

Deborah Watson, MD, Associate Professor, Department of Surgery, Division of Head and Neck Surgery, University of California at San Diego School of Medicine
Deborah Watson, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, Phi Beta Kappa, and Sigma Xi
Disclosure: Nothing to disclose.

Medical Editor

Gregory Branham, MD, Vice-Chair, Director, Associate Professor, Department of Otolaryngology-Head and Neck Surgery, Division of Facial Plastic and Reconstructive Surgery, Saint Louis University School of Medicine
Gregory Branham, MD is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, American College of Physician Executives, and Missouri State Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Dean Toriumi, MD, Department of Otolaryngology, Associate Professor, University of Illinois Medical Center
Disclosure: Nothing to disclose.

CME Editor

Christopher L Slack, MD, Otolaryngology-Facial Plastic Surgery, Private Practice, Associated Coastal ENT; Medical Director, Treasure Coast Sleep Disorders
Christopher L Slack, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Arlen D Meyers, MD, MBA, Professor, Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine
Arlen D Meyers, MD, MBA is a member of the following medical societies: American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and American Head and Neck Society
Disclosure: Covidien Corp Consulting fee Consulting; US Tobacco Corporation unstricted gift unknown

 
 
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