Deviated nasal septum is a very common condition encountered by ENT surgeons. Septoplasty is the surgery which most ENT surgeons who have recently graduated, tend to take up first. However, the results are not rewarding some times. This is due to improper technique and problems occur as attention is not paid to finer nuances of septoplasty procedure.
My teacher (who was a student of well-known ENT surgeon of northern India) was an excellent surgeon and teacher. I am passing over to my young colleagues, certain pearls of wisdom transferred to me by my teacher. The site of the incision is very important; in septoplasty give an incision near or only 2-3 mm behind the caudal end of the cartilage, making sure your incision is on the cartilage and not on the soft part of the septum. Especially when you want to add a strut to support the tip keep the incision near the caudal end, you will…
