Abstract
Nasal septal deviation is a frequent problem treated by otolaryngologists and facial
plastic surgeons. Complete correction of the septal deformity is often essential both
for straightening a crooked nose and for restoration of the nasal airway. While standard
septoplasty techniques provide excellent outcomes in most patients, severe septal
deformities may require treatment with more advanced maneuvers including adjacent
grafting, caudal septal replacement, and even extracorporeal septoplasty. This article
reviews a range of septoplasty techniques, with an emphasis on complex septal reconstruction
and approaches that can be utilized to maintain keystone stability and establish a
robust midline L-strut even in cases with challenging anatomy.
Keywords
septoplasty - keystone stability - extracorporeal septoplasty - cartilage grafting
