Nose Treatment

DIFFERENCE BETWEEN SMR AND SEPTOPLASTY

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.
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