Septoplasty is a procedure where the deviated nasal septum is straightened to improve breathing and treat nasal obstruction. The septum may be deviated in individuals due to previous trauma or due to congenital maldevelopment. It is a relatively common operation that requires careful attention to every detail.
Septoplasty may be performed together with turbinectomy, FESS(Functional endoscopic Sinus Surgery) or Rhinoplasty if the external part of the nose is also deviated. Common pitfalls in septoplasty include over-resection causing change in shape or saddling of the nose.
Septal collapse is a known risk and complication of septoplasty but this is mostly secondary to overaggressive removal of the cartilage and not leaving an adequate strut. It can weaken the nose structure and is there a risk of the nose collapsing. When performing a septoplasty an adequate strut needs to remain intact particularly in key areas of the nose.
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