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An algorithm for management of nasal caudal septal deformities



Caudal end septal deformities are common deformities. Trauma is a main cause of these deformities. there is lack of an algorithm for choosing the suitable technique for the type of deformity. The aim of this retrospective study was to put an algorithm for approaching different caudal end deformities.

Patients and methods

Retrospective review of 136 patients underwent surgical correction for caudal end deformities. Data collection included functional breathing outcomes and drawbacks of different techniques as postop caudal end sublaxation and firm nasal tip sensation.


Patients were divided into 4 groups (according to the technique by which the caudal end of nasal septum was managed) as following: Group A: 90 patients who had undergone surgeries with swinging door or modified swinging door techniques with fixation to anterior nasal spine technique, Group B: 26 patients who had undergone surgery with tongue in groove technique, Group C: 10 patients who had undergone surgery with caudal end splinting using septal bone, Group D: 10 patients who had undergone surgery with septal extension graft with tongue in groove technique.


An algorithm was obtained to help in deciding a methodology for correcting the caudal end deformities according to preoperative patient data.


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Correspondence to Ahmed Younes MBChB, MD, MRCS (ENT).

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Younes, A., El-Dsowkey, R., Ragab, S.M. et al. An algorithm for management of nasal caudal septal deformities. Egypt J Otolaryngol 35, 352–356 (2019).

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  • caudal septal end
  • nasal septum
  • nasal trauma
  • NOSE score
  • septorhinoplasty