Modified Extracorporeal Septoplasty Technique in Rhinoplasty for Severely Deviated Noses

Objectives: Secure fixation of the reimplanted septum is critical for successful long-term aesthetic and functional outcomes following extracorporeal septoplasty (ECS). We describe the results of our modified ECS technique. Methods: This retrospective study involved 27 patients with a deviated nose who underwent our modified ECS method in rhinoplasty between June 2006 and January 2009. Anthropometric changes were assessed from preoperative and postoperative facial photographs. Patient satisfaction was evaluated, and nasal obstruction improvement was assessed on a visual analog scale. Results: Postoperative correction of the external nose deviation angle was statistically significant. Twenty-four patients (89%) were satisfied with the cosmetic outcome, and all 23 patients with moderate to severe preoperative nasal obstruction were satisfied with the postoperative improved nasal breathing. Conclusions: Our modified ECS fixation technique was easy to perform and effective in septorhinoplasty for severe septal deviation.