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. |