title: Caudal Septal Stabilization Suturing Technique to Treat Crooked Noses.
abstract: OBJECTIVE
  To rotate the nasal axis and septum to the midline using an L-strut graft and a novel caudal septal stabilization suturing technique to treat crooked noses.
  
  
  METHODS
  Thirty-six patients were included in the study. First, an L-strut graft was prepared by excising the deviated cartilage site in all patients. Second, multiple stabilization suturing, which we describe as a caudal septal stabilization suturing technique with a "fishing net"-like appearance, was applied between the anterior nasal spine and caudal septum in all patients. This new surgical technique, used to rotate the caudal septum, was applied to 22 I-type and 14 C-type crooked noses. Correction rates for the crooked noses were compared between the 2 inclination types with angular estimations.
  
  
  RESULTS
  Deviation angles were measured using the AutoCAD 2012 software package and frontal (anterior) views, with the Frankfurt horizontal line parallel to the ground. Nasal axis angles showing angle improvement graded 4 categories as excellent, good, acceptable, and unsuccessful for evaluations at 6 months after surgery in the study. The success rate in the C-type nasal inclination was 86.7% (±21.9) and 88% (±16.7) in the I-type. The overall success rate of L-strut grafting and caudal septal stabilization suturing in crooked nose surgeries was 87.5% (±18.6). "Unsuccessful" results were not reported in any of the patients.
  
  
  CONCLUSIONS
  L-strut grafting and caudal septal stabilization suturing techniques are efficacious in crooked noses according to objective measurement analysis results. However, a longer follow-up duration in a larger patient population is needed.
authors.affiliation: *Department of ORL, Bakirkoy Sadi Konuk Education and Research Hospital, Istanbul †Department of ORL, Erbaa Government Hospital, Tokat ‡Faculty of Medicine, Department of ORL, Dumlupinar University, Kutahya, Turkey.
authors.forename: Bahadir
authors.initials: B
authors.lastname: Baykal
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Erdim
authors.forename: Ali
authors.initials: A
authors.lastname: Guvey
authors.forename: Fatih
authors.initials: F
authors.lastname: Oghan
authors.forename: Fatma Tulin
authors.initials: FT
authors.lastname: Kayhan
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D009300:Nasal Septum / Q000601:surgery*; D009667:Nose Deformities, Acquired / Q000601:surgery*; D019736:Prostheses and Implants; D012225:Rhinoplasty / Q000379:methods*; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D013997:Time Factors