| SMR Surgery | Septoplasty |
|---|---|
| Radical Surgery | Conservative Surgery |
| Killian’s incision taken 5 mm from caudal border of septal cartilage. | Freer’s hemitransfixation incision taken at caudal border of septum. |
| Not done below 17 years of age. | Can be done at any age. |
| Mucosal flaps elevated on both sides. | Mucosal flaps elevated only on concave side of cartilage. |
| Entire cartilage except 2-3 mm strip at caudal end is removed. | Only deviated part of cartilage removed. |
| Caudal dislocation cannot be corrected. | Caudal dislocation can be corrected. |
| Complications: | |
| - Septal perforation. | Complications are rare. |
| - Septal haematoma. | |
| - Supratip deformity. | |
| - Saddle nose deformity. | |
| - CSF rhinorrhea. | |
| Cannot be combined with rhinoplasty. | Can be combined with rhinoplasty. |
