Correct a deviated nasal septum and columella? (photos)

Question

I have a deviated septum and a deviated columella. Since the MiniCAT was taken I had cobllation turbinate reduction. Question #1: Is there an improved approach to correcting a deviated septum than the L strut method? Question #2: Can I safely get a closed nose septoplasty now and correct the nasal columella at a later date? The surgical center cost could be financially crippling while the complication rate would be high. Hence my trepidation and questions. Thank you for your time and help.

William Portuese, MD · Answer

A closed septoplasty can accomplish straightening the internal component of the septum to improve airflow dynamics and breathing by making the incision on the inside of the nose. The crooked nasal tip and the crooked columella are probably cosmetic related and are usually need to be paid for by the patient. For more information about the differences between a rhinoplasty and a septoplasty, please see the video below

Arian Mowlavi, MD, FACS (license on probation) · Answer

What you are concerned of is an anterior septal deviation which is causing your columellar deviation; the bottom of your septum has fallen off of your nasal spine (center support structure); the treatment for your nose is s anterior septal reduction which can be done with minimal surgical dissection of the septal base to flip it onto the nasal spine or slightly over to the other side. This will improve your anterior septal deviation and columellar deviation at the same time.

Michael Elam, MD (retired) · Answer

Dear Michael2019, The dorsal caudal or commonly called the L shaped  strut is the most reliable means to correct a deviated septum. The surgeon should remove as little septum as possible and the approach used will be determined by your choice of surgeon. I perform many septoplasty procedures weekly and there is not a high level of complication rate with this procedure. Many surgeons like myself own their own private fully accredited operating facilities so operating room costs are minimal. I would suggest that you seek some consultations with experts in the field and after an intra-nasal examination all of your questions and concerns can easily be addressed. Again this is a common procedure I perform multiple times weekly with very high levels of patient satisfaction and minimal complications. Best regards, Michael V. Elam, M.D.

Correct a deviated nasal septum and columella? (photos)

Answers (3)

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