Can any doctors who are experts on caudal septal deviation share their possible approaches for this problem?

The deviated caudal septum. deviation of the caudal septum is very common, and depending on the plane in which it is deviated can be the easiest to repair. Repairing deviation of a caudal septum in the horizontal plane may involve removing a piece of septum behind the caudal septum, repositioning the caudal septum after freeing it up in the midline, fixing it in the midline with suture material, and adding grafts to help straighten the curvature, and making small scratches on the concave side to weaken it, straighten it and help prevent recurrence. Usually a combination of these procedures are performed depending on how badly deviated the caudal septum is. But a combination of a submucous resection, Removal of the base of the caudal septum freeing it up, attaching it in the midline, scratching or “scoring“ the concave side, and applying a Cartlidge graft is a very powerful and usually very successful way of dealing with a caudal septal deviation in the horizontal plane. cartilage does have some memory and there is always a small possibility of residual crookedness or recurrence of some crookedness but using the above techniques the improvement is very significant and lasting, And any residual or recurring crookedness is usually very minimal.

The septal cartilage can be scored and straightened with a spreader graft for support. If too long it can be trimmed but usually suturing the medial crura to the septum can be enough to shorten ptotic tip.

The caudal septum, the part nearest the skin in between the nostrils, can curve in a number of planes and has a direct effect on the overlying tip cartilages and nostril apertures. Looking back at any subject will usually find conflicting information, because as time goes on we have a better understanding of the physical world around us, including the fields of medicine and surgery. A perfect example is cartilage 'memory', which hounded early surgeons relying on destructive techniques to straighten cartilage. Today, an open approach allows precision excision of non-structural septal cartilage and placement of permanent structural cartilaginous grafts to get predictable and durable septal straightening. BTW, there is no such thing as a 'caudal septal deviation' specialist.