title: Two-level septocolumellar suture technique for correction of septal caudal dislocation.
abstract: BACKGROUND
  Caudal septal dislocation is a respiratory and cosmetic problem. The correction of caudal septal dislocation is a challenging issue. Although different modalities have been described for the treatment, it is still controversial.
  
  
  OBJECTIVE
  This study aims to describe a two-level suture technique which can be used to correct and stabilize the septum in the columellar pocket.
  
  
  METHODS
  The caudal septum was fixed to the nasal spine with suturing, and an anterior columellar pocket was formed. Two septocolumellar sutures including superior and inferior were performed to correct the dislocated caudal septum and to increase the stability of caudal septum in the columellar pocket.
  
  
  RESULTS
  Anterior rhinoscopy showed no recurrent deviation or dislocation in our patients.
  
  
  CONCLUSIONS
  Our suture technique is an effective and easy-to-use method to correct the caudal septal dislocation. It can also be used to increase the stability of corrected septum by other techniques. A two-level suture technique increases the success of correction and reduces the risk of postoperative septal caudal luxation, stabilizing the superior portion of the caudal septum, in particular. Therefore, it would reduce the rate of redo surgeries.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Medilife Beylikduzu Hospital, Istanbul, Turkey.
authors.forename: Nevzat
authors.initials: N
authors.lastname: Demirbilek
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Medilife Beylikduzu Hospital, Istanbul, Turkey. Electronic address: drcenkevren@yahoo.com.
authors.forename: Cenk
authors.initials: C
authors.lastname: Evren
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
authors.forename: Mustafa Suphi
authors.initials: MS
authors.lastname: Elbistanlı
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Medilife Beylikduzu Hospital, Istanbul, Turkey.
authors.forename: Uzay
authors.initials: U
authors.lastname: Altun
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery, Kemer Government Hospital, Antalya, Turkey.
authors.forename: Selda Sarikaya
authors.initials: SS
authors.lastname: Günay
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008488:Medical Illustration; D009300:Nasal Septum / Q000293:injuries* / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000601:surgery; D012225:Rhinoplasty / Q000379:methods*; D013536:Suture Techniques; D016896:Treatment Outcome
keywords: Desvio septal caudal; Fixação de septo; New suture technique; Nova técnica de sutura; Septal caudal dislocation; Septum fixation