Surgical Correction of Deviated Nasal Septum via Rhinoplasty and Cartilage Reduction: A Detailed Case Report
Godvine
Department of Oral and Maxillofacial Surgery, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, India.
Sarah Fatima
Department of Oral and Maxillofacial Surgery, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, India.
Sanaa Shahed
Department of Oral & Maxillofacial Surgery, Sri Balaji Dental College & Hospital, Hyderabad, India.
Farya Muskaan Khan
Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, India.
Chunduri Sai Vaishnavi *
Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, India.
Dharitha Surgi
Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, India.
Nabiha Farheen
Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, India.
Lasya Snkp Duggirala
Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, India.
Israa Mohammed Younus
Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Deviated nasal septum (DNS) is a common structural abnormality causing nasal obstruction, snoring, headaches, and aesthetic deformity. Surgical intervention is indicated when conservative management fails.
Case Presentation: A 24-year-old male presented with long-standing nasal obstruction, snoring, intermittent headaches, and visible nasal deviation following childhood trauma. Clinical examination and computed tomography revealed a severe C-shaped septal deviation with dorsal nasal asymmetry. The patient underwent open septorhinoplasty with septal cartilage reduction and reconstruction.
Surgical Technique: An open septorhinoplasty approach was performed with elevation of mucoperichondrial flaps, correction of septal deviation while preserving the dorsal and caudal L-strut, cartilage reshaping and grafting, and osteotomies for nasal realignment.
Outcome: Postoperative recovery was uneventful. At one-, three-, and six-month follow-up, the patient demonstrated significant improvement in nasal breathing, resolution of snoring, and satisfactory aesthetic outcome.
Conclusion: Open septorhinoplasty with cartilage reduction is an effective and reliable technique for managing severe septal deviation with associated nasal deformity, providing both functional and aesthetic benefits.
Keywords: Deviated nasal septum, septoplasty, septorhinoplasty, nasal obstruction, rhinoplasty, cartilage graft