What is the caudal septum?

The caudal septum is the part of the nasal septum closest to the opening of the nostrils. The caudal septum should sit in the middle of the nose over the nasal spine. In this position the septum helps support the nasal tip and allows for equal airflow through the nostrils.

What causes caudal septal deviation?

Caudal end septal deformities are common deformities; these deformities result in both function and esthetic problems. Twisting of the lower third of the nose is caused by caudal end deviations, whereas tip ptosis and under projection are caused by caudal end deficiency. These deformities are caused mainly by trauma.

What is caudal deviation?

Caudal septal deviation is defined as deviation of the anterior most portion of the nasal septum. (Fig. 1) In addition to functional symptoms, caudal septal deviation can cause significant cosmetic deformities, including lobule deviation, tip ptosis, and deformity of the middle one-third of the nose [1, 2].

What is Synechiae in the nose?

Nasal synechiae or turbinate synechiae is a condition in which there is adhesion of one turbinate to another, to another part of same turbinate, to the lateral wall or less commonly to the nasal septum [1].

How is septum cartilage straightened?

Septoplasty straightens the nasal septum by trimming, repositioning and replacing cartilage or bone. The surgeon works through incisions inside the nose. Occasionally it is necessary to make a small incision between the nostrils.

How do you fix anterior septum deviation?

An S-shaped deviation can be corrected by removing a posterior portion of cartilage, along with bilateral scoring on the concave side and resection of the protruding maxillary crest. A spreader graft can be used if necessary, and a batten graft may be added to straighten the remaining caudal septum (Fig.

How do you know if your nasal valve collapsed?

A simple breathing test called the Cottle Maneuver can give you a clue about your nasal obstruction. Pull on your cheek to hold your nostril to the side. If your breathing improves, you may have Nasal Valve Collapse. Disclaimer: Individual patient results may vary and may include other procedures.

How is nasal synechiae treated?

Nasal synechiae is an important cause for the failure of many a nasal surgery. Septal splints have been widely used for the treatment of nasal synechiae, but are associated significant morbidity until removal.

How do you fix deviated septum without surgery?

Treatment

  1. Decongestants. Decongestants are medications that reduce nasal tissue swelling, helping to keep the airways on both sides of your nose open.
  2. Antihistamines. Antihistamines are medications that help prevent allergy symptoms, including a stuffy or runny nose.
  3. Nasal steroid sprays.