Management of the Deviated Caudal Septum

Christopher Z. Johnson, Luke Edelmayer, Tom D. Wang

Research output: Contribution to journalReview articlepeer-review


Purpose: This article seeks to educate the reader regarding the prevalence, importance, and techniques to address caudal septal deviation (CSD). Recent Findings: Though techniques to address caudal septal deviation have been around for years, new technology has allowed us to understand the effect of CSD on airflow through the nasal cavity. Modification of previously used surgical techniques has also allowed surgeons to treat CSD with less morbidity and more consistent results. Summary: Caudal septal deviation is a relatively common but difficult to treat cause of nasal obstruction. Roughly one century has passed since Metzenbaum published one of the first articles describing how to treat CSD. Since Metzenbaum’s manuscript, numerous techniques have been described to treat CSD, most of which are effective for mild to moderate cases. For more severe cases, the extracorporeal septoplasty technique was developed and has since been refined to what we describe herein as the modified anterior septal transplant.

Original languageEnglish (US)
Pages (from-to)162-166
Number of pages5
JournalCurrent Otorhinolaryngology Reports
Issue number2
StatePublished - Jun 2022


  • Anterior septal transplant
  • Caudal septal deviation
  • Extracorporeal septal transplant
  • Septal deviation
  • Septoplasty

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery
  • Immunology and Allergy
  • Clinical Neurology


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